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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Opening a sterile tray flap toward the body can be incorrect practice, but it is a minor procedural issue that does not necessarily pose an immediate risk.
B. Using clean gloves is appropriate for non-sterile tasks like discontinuing an IV infusion.
C. Using a telephone number as identification is not acceptable; proper identification should include at least two identifiers like name and date of birth.
D. Emptying a colostomy pouch when it is one-third full is appropriate practice to prevent overflow and maintain hygiene.
Correct Answer is B
Explanation
Rationale:
A. Right circumstances refers to the appropriate conditions and setting for delegation.
B. Right supervision involves monitoring and evaluating the performance of tasks delegated to ensure they are completed correctly.
C. Right communication involves clearly communicating the tasks to be completed.
D. Right person ensures the task is delegated to someone with the appropriate skills and qualifications.
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