A nurse is assisting with the plan of care for a child whose parents refuse to accept the medical treatment prescribed by the provider. Which of the following actions should the nurse plan to take first to address this ethical dilemma?

Examine personal values.

Agree on a desired outcome.

Create a plan of action.

Collect the relevant facts.

Answer and Explanation

The Correct Answer is D

A.   Examine personal values: Understanding personal biases is important, but this is not the initial step in ethical decision-making.
B.   Agree on a desired outcome: Reaching a consensus is essential but should come after gathering the necessary information.
C.   Create a plan of action: Developing a plan is premature without gathering facts and understanding the situation.
D.   Collect the relevant facts: Gathering all relevant information is the first step to understanding the ethical dilemma and determining an appropriate response.

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Correct Answer is D

Explanation

A. Select the appropriate dressing: Although selecting the right dressing is essential, it is not the initial step.
B. Document the dressing change: Documentation follows the intervention, not precedes it.
C. Change the dressing: Performing the dressing change without adequate preparation is not the first step.
D. Review available dressing types: Reviewing available dressing options ensures appropriate selection based on the wound's condition and treatment goals.

A. Cover the site with a stockinette dressing. B. Administer a sedative. C. Apply a soft mitten restraint. D. Place the client close to the nurses' station.

Correct Answer is D

Explanation

A. Cover the site with a stockinette dressing: This action may help secure the IV site but does not immediately address the safety concern.
B. Administer a sedative: Administering sedatives is not the first-line intervention and requires a provider's order.
C. Apply a soft mitten restraint: Restraints should be the last resort after implementing less restrictive measures. Closer observation and attempts to redirect the client are less restrictive and should be tried first.
D. Place the client close to the nurses' station: Proximity allows for frequent monitoring, preventing further self-harm.

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A nurse is assisting with the plan of care for a child whose parents refuse to accept the medical treatment prescribed by the provider. Which of the following actions should the nurse plan to take first to address this ethical dilemma?

Nursing Test Bank

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