A nurse is caring for a client who has phantom limb pain.
The nurse should identify the client is experiencing which type of pain?

Choice A rationale
Providing nonpharmacological pain interventions to each client equally is an example of justice, not autonomy. Justice in healthcare refers to treating all patients fairly and equitably.
Choice B rationale
Fulfilling a promise to a client that they will return with their pain medication is an example of fidelity, not autonomy. Fidelity refers to being faithful to commitments and promises.
Choice C rationale
Administering a scheduled pain medication for a client who is having pain is an example of beneficence, not autonomy. Beneficence refers to taking actions that are of benefit to the patient.
Choice D rationale
Giving a client the choice of when to take a pain medication is an example of autonomy. Autonomy in healthcare refers to the patient’s right to make decisions about their own care.

Choice A rationale

Hyperoxia, or high oxygen levels, can cause unfavorable outcomes for a client who has a traumatic brain injury and is being mechanically ventilated. Too much oxygen can lead to oxygen toxicity and cause damage to the lungs and other organs, including the brain.
Choice B rationale
A platelet count of 250,000/mm^3 is within the normal range and would not typically cause unfavorable outcomes for a client who has a traumatic brain injury and is being mechanically ventilated.
Choice C rationale
A hemoglobin level of 16 g/dL is within the normal range and would not typically cause unfavorable outcomes for a client who has a traumatic brain injury and is being mechanically ventilated.
Choice D rationale
A Glasgow Coma Scale score of 16 is not possible as the maximum score is 15. A higher score indicates a less severe injury, so it would not typically cause unfavorable outcomes for a client who has a traumatic brain injury and is being mechanically ventilated.