A nurse is caring for a client who is scheduled for coronary artery bypass surgery and does not wish to have any blood transfusions. The nurse should recognize that administering blood to this client is a violation of which of the following ethical principles?
Autonomy
Fidelity
Justice
Veracity
The Correct Answer is A
Choice A reason: This is the correct choice because autonomy is the ethical principle that respects the client's right to make their own decisions about their health care. The nurse should honor the client's wishes and preferences, even if they differ from the nurse's or the provider's. The nurse should not force or coerce the client to accept blood transfusions, as this would violate their autonomy.
Choice B reason: This is not the correct choice because fidelity is the ethical principle that requires the nurse to be faithful and loyal to the client and their agreement. The nurse should keep their promises and commitments, and act in the best interest of the client. The nurse should not administer blood transfusions to the client without their consent, as this would breach their trust and fidelity.
Choice C reason: This is not the correct choice because justice is the ethical principle that ensures fair and equal treatment for all clients. The nurse should distribute resources and services according to the client's needs and rights, and avoid any discrimination or bias. The nurse should not administer blood transfusions to the client against their will, as this would disregard their justice.
Choice D reason: This is not the correct choice because veracity is the ethical principle that obliges the nurse to be honest and truthful with the client. The nurse should provide accurate and complete information, and disclose any errors or risks. The nurse should not administer blood transfusions to the client without informing them, as this would violate their veracity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Diminished hand-to-mouth coordination is not a finding that requires a referral to speech-language pathology, as it is related to the motor function of the upper extremities. The nurse should refer the client to physical therapy or occupational therapy for this issue.
Choice B reason: Impaired voluntary cough is a finding that requires a referral to speech-language pathology, as it indicates a possible dysfunction of the swallowing mechanism or the vocal cords. The nurse should refer the client to speech-language pathology for a swallowing evaluation and intervention.
Choice C reason: Altered level of consciousness is not a finding that requires a referral to speech-language pathology, as it is related to the neurological function of the brain. The nurse should monitor the client's Glasgow Coma Scale score and report any changes to the provider.
Choice D reason: Unilateral ptosis is not a finding that requires a referral to speech-language pathology, as it is related to the cranial nerve function of the eye. The nurse should assess the client's pupillary response and eye movements and report any abnormalities to the provider.
Correct Answer is C
Explanation
Choice A reason: Data collection about specific client needs related to turning is not an assessment that the nurse should make before delegating care, but rather a task that the nurse should perform and communicate to the AP. The nurse should identify the client's risk factors, preferences, and goals for turning and share them with the AP.
Choice B reason: Changing the client's central IV line dressing is not a task that the nurse should delegate to the AP, as it requires sterile technique and infection control. The nurse should perform this task and document the findings and interventions.
Choice C reason: Checking the client's pain level prior to turning her is an assessment that the nurse should make before delegating care, as it affects the client's comfort and safety. The nurse should ensure that the client's pain is adequately managed and that the AP is aware of the client's pain status and medication regimen.
Choice D reason: The presence of the client's family is not an assessment that the nurse should make before delegating care, but rather a factor that the nurse should consider and respect when planning and implementing care. The nurse should involve the client's family in the care process as much as possible and provide them with education and support.
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