A nurse is conducting a medication count of narcotics in the cart.

The nurse discovers an incorrect count and missing narcotic medication. Which ethical standard compels the nurse to report the missing medication?

Justice.

Accountability.

Confidentiality.

Fidelity.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Justice refers to fairness and equality in healthcare. While it is an important ethical principle in nursing, it does not specifically compel a nurse to report missing medication26.
Choice B rationale
Accountability is the ethical standard that compels a nurse to report missing medication. Nurses are accountable for their actions and are responsible for reporting any discrepancies or issues that could impact patient safety26.
Choice C rationale
Confidentiality refers to the protection of patient information. While it is an important ethical principle in nursing, it does not specifically compel a nurse to report missing medication26.
Choice D rationale
Fidelity refers to the commitment to fulfill promises and obligations. While it is an important ethical principle in nursing, it does not specifically compel a nurse to report missing medication26.

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Correct Answer is C

Explanation

Choice A rationale
It is a common practice for nurses to assess a patient’s respirations without explicitly stating so. This is because patients may alter their breathing pattern if they know it’s being observed.
Choice B rationale
Auscultating heart sounds using the bell of the stethoscope is a standard practice in nursing. The bell of the stethoscope is used specifically to listen to low-frequency sounds such as heart murmurs.
Choice C rationale
Assessing both carotid pulse sites at the same time is dangerous and should be avoided. This action can lead to reduced blood flow to the brain, possibly causing the patient to faint or experience a decrease in cerebral blood flow.
Choice D rationale
Cleaning the stethoscope between patient assessments is a recommended practice to prevent the spread of infections.

A. A 67-year-old male who requires discharge teaching. B. A 24-year-old female who requires a sterile dressing change. C. A 94-year-old male who requires a bed bath and linen change. D. A 76-year-old patient complaining of new onset dizziness.

Correct Answer is B

Explanation

Choice A rationale
Discharge teaching is typically a responsibility of the RN, as it often involves complex instructions and patient education.
Choice B rationale
LPNs are skilled in many technical tasks, including sterile dressing changes. This task is within the LPN’s scope of practice and does not require the advanced assessment skills of an RN56.
Choice C rationale
A bed bath and linen change are tasks that can be competently performed by Nurse Aides.
Choice D rationale
A patient complaining of new onset dizziness should be assigned to an RN. This symptom could indicate a serious condition that requires advanced assessment and critical thinking skills.

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A nurse is conducting a medication count of narcotics in the cart. The nurse discovers an incorrect count and missing narcotic medication. Which ethical standard compels the nurse to report the missing medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following actions by the new nurse requires immediate intervention by the experienced nurse?

Correct Answer is C

Explanation

The RN is creating assignments for the day. The team includes RNs, LPNs, and Nurse Aides. Which patient is most suitable to assign to the LPN?

Correct Answer is B

Explanation

A nurse is conducting a medication count of narcotics in the cart. The nurse discovers an incorrect count and missing narcotic medication. Which ethical standard compels the nurse to report the missing medication?

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A nurse is conducting a medication count of narcotics in the cart.

The nurse discovers an incorrect count and missing narcotic medication. Which ethical standard compels the nurse to report the missing medication?