A nurse is providing care for a surgeon on a medical-surgical unit. A nurse from another unit asks the nurse about the surgeon's medical diagnosis. The nurse responds that he is unable to provide the information requested. The nurse is displaying which of the following ethical principles?

Utility

Non-maleficence

Paternalism

Justice

Answer and Explanation

The Correct Answer is B

Answer: B. Non-maleficence

Rationale:

A. Utility:
The principle of utility refers to actions that maximize the overall good or benefit for the greatest number of people. In this scenario, the nurse’s refusal to share the surgeon's medical diagnosis does not directly relate to maximizing benefits, so this principle is not applicable.

B. Non-maleficence:
Non-maleficence is the ethical principle that involves the obligation to avoid causing harm to others. By not disclosing the surgeon's medical diagnosis, the nurse is protecting the surgeon's privacy and confidentiality, thereby preventing potential harm that could arise from sharing sensitive health information without consent.

C. Paternalism:
Paternalism refers to making decisions for others with the belief that it is in their best interest, often overriding their autonomy. The nurse's action of withholding information is not based on deciding what is best for the other nurse but rather on adhering to confidentiality principles.

D. Justice:
Justice in healthcare refers to fairness in the distribution of resources and treatment. The situation does not pertain to equitable treatment or allocation of resources, so this principle is not relevant in this context.

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Correct Answer is A

Explanation

A. "I will be sure to take the albuterol before taking the cromolyn": Taking albuterol before cromolyn is the correct sequence because albuterol is a bronchodilator that helps open the airways quickly, while cromolyn is a mast cell stabilizer that helps prevent asthma symptoms. Taking albuterol first allows for better penetration of cromolyn into the airways. Therefore, this statement indicates an understanding of the appropriate sequence for using the medications.
B. "I will use both medications immediately after exercising": While it is essential to use albuterol before exercise to prevent exercise-induced bronchospasm, using cromolyn immediately after exercise is not typically indicated. Cromolyn is more effective when used prophylactically to prevent asthma attacks triggered by allergens or exercise rather than as an acute rescue medication.
C. "If my breathing begins to feel tight, I will use the cromolyn immediately": Cromolyn is not indicated for the immediate relief of acute bronchospasm. It works best when used regularly to prevent asthma symptoms rather than as a rescue medication during an asthma attack. Albuterol is the appropriate choice for immediate relief of tightness or wheezing.
D. "I will administer the medications 10 minutes apart": While it's important to space out the administration of different medications to ensure proper absorption and effectiveness, the specific timing between albuterol and cromolyn may vary based on individual instructions from the healthcare provider. Generally, it's recommended to take albuterol first, followed by cromolyn after a brief interval.

A. Instruct the client to stay in the same position for 2 min. B. Tell the client to blow her nose gently before the instillation C. Assist the client to a side-lying position. D. Hold the dropper 2 cm (1 in) above the nares

Correct Answer is D

Explanation

A. Instruct the client to stay in the same position for 2 min: While it is important for the client to remain in a supine position with the head tilted back slightly after instilling nasal decongestant drops, there is no need for the client to remain in the same position for a specific duration such as 2 minutes.
B. Tell the client to blow her nose gently before the instillation: Blowing the nose before instilling nasal decongestant drops is not necessary and may cause irritation to the nasal passages. The drops should be instilled directly into the nasal passages without prior blowing of the nose.
C. Assist the client to a side-lying position: There is no need to assist the client to a side-lying position for the administration of nasal decongestant drops. The drops are typically administered with the client in a seated or supine position with the head tilted back slightly.
D. Hold the dropper 2 cm (1 in) above the nares: This is the correct action. Holding the dropper approximately 2 cm (1 in) above the nares allows for precise instillation of the drops into the nasal passages without touching the dropper to the nares, which helps prevent contamination.

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A nurse is providing care for a surgeon on a medical-surgical unit. A nurse from another unit asks the nurse about the surgeon's medical diagnosis. The nurse responds that he is unable to provide the information requested. The nurse is displaying which of the following ethical principles?

Rationale:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

A nurse is administering nasal decongestant drops for a client. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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