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?

Agree on a desired outcome.

Collect the relevant facts.

Examine personal values.

Create a plan of action.

Answer and Explanation

The Correct Answer is B

A. Agree on a desired outcome:

Before agreeing on a desired outcome, it is important to collect relevant facts and information about the situation. Understanding the specifics of the case is crucial for making informed decisions.

B. Collect the relevant facts:

This is the correct answer. Gathering information and understanding the facts surrounding the situation is the initial step in addressing any ethical dilemma. This includes understanding the nature of the medical treatment, reasons for refusal, and potential consequences for the child.

C. Examine personal values:

While personal values are important to consider, examining personal values typically comes later in the ethical decision-making process. The nurse first needs to understand the facts and the context of the situation.

D. Create a plan of action:

Creating a plan of action should be based on a thorough understanding of the situation, including the relevant facts and considerations. It is a step that follows the collection of information.

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Correct Answer is ["125"]

Explanation

To calculate the IV pump rate (mL/hr), you can use the following formula:

Rate (mL/hr) = Total Volume (mL)/Total Time (hr)

In this case:

Rate=500 mL/4 hr

Rate=125mL/hr

Therefore, the nurse should set the IV pump to deliver 125 mL/hr for the lactated Ringer's IV infusion over 4 hours, rounded to the nearest whole number.

A. Complete an incident report. B. Receive a hepatitis C immunization. C. Notify the health department. D. Start prophylactic antibiotic therapy

Correct Answer is A

Explanation

A. Complete an incident report.

Reporting a needlestick injury through an incident report is crucial. It documents the details of the incident, which is important for the nurse's safety and for initiating appropriate follow-up actions.

B. Receive a hepatitis C immunization:

There is no specific hepatitis C vaccine available. While there are vaccines for hepatitis A and hepatitis B, there is currently no vaccine to prevent hepatitis C. Seeking post-exposure prophylaxis and follow-up is more relevant in this case.

C. Notify the health department:

Notifying the health department might be necessary in some cases, but the immediate action for the nurse is to report the incident through an incident report within the facility. This allows for prompt internal investigation and necessary measures.

D. Start prophylactic antibiotic therapy:

Prophylactic antibiotic therapy is not the standard protocol for preventing hepatitis C transmission after a needlestick injury. Antiviral medications might be considered in certain cases for post-exposure prophylaxis for hepatitis C, but this decision should be made after consulting with a healthcare provider or infectious disease specialist based on the specific circumstances of the exposure. Reporting the incident remains the immediate priority.

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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

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer lactated Ringer's 500 mL IV to infuse over 4 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["125"]

Explanation

A nurse has sustained a needlestick injury from a needle he used to give an injection to a client who has hepatitis C. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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