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

Answer and Explanation

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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Correct Answer is B

Explanation

Rationale:

A. Blood for PaCO2 is a specialized specimen that requires venipuncture and specific handling to ensure accuracy, which should be performed by a licensed nurse or phlebotomist.

B. Random stool specimen collection is a routine task that can be delegated to the AP. It requires minimal specialized skill and is within the AP's scope of practice.

C. Wound drainage for culture requires sterile technique and proper handling to avoid contamination, which is beyond the AP's responsibilities.

D. Urine from an indwelling catheter requires specialized techniques and knowledge to ensure proper collection, and should be performed by a nurse.

A. Verbally question the staff about the new equipment. B. Ask each nurse to read the procedure and sign a form acknowledging competency. C. Require each nurse to take a written examination about the new equipment. D. Allow time during the workday when each nurse can demonstrate proficiency.

Correct Answer is D

Explanation

Rationale:

A. Verbally questioning the staff does not effectively assess hands-on competency with the equipment.

B. Reading the procedure and signing a form does not ensure that the staff can actually use the equipment correctly.

C. A written examination tests knowledge but not practical skills.

D. Demonstrating proficiency ensures that staff can correctly operate the equipment in a practical setting, which is the most effective way to evaluate competency.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on a medical-surgical unit is providing care for a group of clients. The nurse should delegate collection of which of the following specimens to the assistive personnel (AP)?

Correct Answer is B

Explanation

A charge nurse is providing an inservice for staff nurses on the use of new IV pumps. Which of the following actions should the charge nurse take to best evaluate staff competency with the new equipment?

Correct Answer is D

Explanation

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