A nurse is caring for a client who is dying. The nurse should incorporate the principle of nonmaleficence into practice by taking which of the following actions?
Withholding a dose of narcotic pain medication when the client has respiratory depression
Discussing advance directives with the client and the client's family
Providing comfort care measures to the client
Allowing the client's family unlimited visitation at the time of death
The Correct Answer is A
Rationale:
A. Withholding a dose of narcotic pain medication when there is respiratory depression aligns with nonmaleficence, as it prevents further harm by not exacerbating the client's respiratory issues.
B. Discussing advance directives is important but is more related to autonomy and respect for the client’s wishes rather than nonmaleficence.
C. Providing comfort care is a supportive measure but does not specifically address nonmaleficence in terms of preventing harm.
D. Allowing unlimited visitation respects family wishes but does not directly relate to the principle of nonmaleficence regarding the client’s immediate medical needs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. “There are no provider's prescriptions available.” This reflects the Situation (current problem), not background.
B. The B (Background) step of SBAR includes relevant clinical history and context that led to the current situation. Explaining how the client was found provides important background information that helps the provider understand the circumstances surrounding the client’s condition.
C. “The client should be seen by a neurologist.” This is part of the Recommendation step, where the nurse suggests actions or next steps.
D. “The client is disoriented. Pupils are slow to respond to light.” This belongs in the Assessment step, as it describes the nurse’s clinical findings.
Correct Answer is B
Explanation
Rationale:
A. Dilated pupils are typically associated with stimulant use, not opioids.
B. Euphoria is a common effect of opioid use and can indicate misuse or diversion of these medications.
C. Rhinorrhea is usually associated with withdrawal from opioids rather than their use.
D. Hallucinations can occur with certain drugs but are less commonly associated with opioid use compared to euphoria.
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