A nurse is caring for a group of clients.
The nurse demonstrates adherence to the ethical principle of fidelity by doing which of the following?
Allowing a new mother to hold her stillborn infant.
Confirming that a client going for surgery has signed a consent form.
Refusing to disclose information about a client to the media.
Keeping an appointment with a client.
The Correct Answer is D
Choice A rationale
Allowing a new mother to hold her stillborn infant demonstrates the ethical principle of beneficence and respect for autonomy. Beneficence involves acting in the best interest of the client, providing comfort and emotional support during a profound loss. Respect for autonomy allows the mother to make choices regarding her grief process and bonding, acknowledging her inherent right to self-determination even in tragedy.
Choice B rationale
Confirming a signed consent form aligns with the ethical principle of autonomy and fidelity. Autonomy ensures the client's right to self-determination and informed decision-making regarding their healthcare. Fidelity involves upholding professional promises and commitments, which includes ensuring all legal and ethical prerequisites for procedures, like informed consent, are meticulously fulfilled prior to intervention.
Choice C rationale
Refusing to disclose client information to the media exemplifies the ethical principle of confidentiality, which is a facet of fidelity. Confidentiality protects sensitive client data, safeguarding their privacy and fostering trust within the therapeutic relationship. Fidelity mandates honoring commitments to privacy and acting as a trustworthy steward of patient information, even under external pressure.
Choice D rationale
Keeping an appointment with a client directly demonstrates the ethical principle of fidelity. Fidelity refers to the commitment to honor promises and maintain loyalty. By consistently attending scheduled appointments, the nurse upholds their professional obligations and builds trust with the client, demonstrating reliability and dedication to the therapeutic relationship. This action directly reflects trustworthiness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.5"]
Explanation
Step 1 is to convert milligrams (mg) to micrograms (mcg). 0.05 mg × 1000 mcg/mg = 50 mcg.
Step 2 is to determine the number of tablets to administer. 25 mcg ÷ (50 mcg/tablet) = 0.5 tablets. The nurse would administer 0.5 tablets.
Correct Answer is ["A","C","F"]
Explanation
Choice A rationale
Post-kidney transplant, immunosuppressive medications are crucial to prevent rejection, which also compromises the immune system. Engaging in contact sports significantly increases the risk of direct trauma to the transplanted kidney, potentially causing injury or rupture, which could necessitate re-transplantation or lead to graft loss.
Choice E rationale
Grapefruit contains furanocoumarins, compounds that inhibit the cytochrome P450 3A4 (CYP3A4) enzyme system in the liver and intestines. Many immunosuppressants, like calcineurin inhibitors (e.g., cyclosporine, tacrolimus), are metabolized by CYP3A4. Inhibition of this enzyme can lead to increased drug concentrations and elevated risk of toxicity.
Choice F rationale
Fluid restriction post-kidney transplant may be necessary, particularly in the immediate postoperative period or if the patient experiences fluid overload or delayed graft function. Excessive fluid intake could contribute to hypertension or pulmonary edema, complicating recovery and potentially stressing the newly transplanted kidney.
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