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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Free Nursing Study Resources

Correct Answer is ["5.6"]

Explanation

Let's calculate the amount of amoxicillin suspension the nurse should administer.

Steps:

Convert toddler's weight to kilograms (kg):
- Weight (kg) = Weight (lb) / 2.2 lb/kg
- Weight (kg) = 33 lb / 2.2 lb/kg
- Weight (kg) ≈ 15 kg
Calculate total daily dose of amoxicillin:
- Total dose (mg/day) = Dose per kg/day x Weight (kg)
- Total dose (mg/day) = 30 mg/kg/day x 15 kg
- Total dose (mg/day) = 450 mg/day
Calculate amoxicillin needed per dose (since it's given every 12 hours, we need half the daily dose):
- Dose per administration (mg) = Total daily dose (mg/day) / Number of doses/day
- Dose per administration (mg) = 450 mg/day / 2 doses/day
- Dose per administration (mg) = 225 mg
Calculate the volume (mL) of suspension based on the concentration:
- Concentration (mg/mL) = Amount of amoxicillin (mg) / Volume (mL)
- We need to rearrange the formula to find the volume (mL): Volume (mL) = Amount of amoxicillin (mg) / Concentration (mg/mL)
- Known values:
  - Amount of amoxicillin (mg) = 225 mg (calculated in step 3)
  - Concentration (mg/mL) = 200 mg/5 mL (from available suspension)
- Volume (mL) = 225 mg / (200 mg/5 mL)
- To simplify the calculation, divide both numerator and denominator by 25: Volume (mL) = (225 mg / 25) / (200 mg/5 mL / 25) Volume (mL) = 9 mL / 4 mL/mL. Pay attention here, dividing by mL/mL is the same as multiplying by 1)
- Volume (mL) = 9 mL
Round the answer to the nearest tenth:
- Volume (mL) ≈ 5.6 mL

Therefore, the nurse should administer approximately 5.6 mL of amoxicillin suspension per dose.

A. pH 7.55, HCO 30 mEq/L. PaCO2 31 mm Hg B. pH 7.30, HCO 26 mEq/L. PaCO, 50 mm Hg C. pH 7.50, HCD, 20 mEq/L PaCO 32 mm Hg D. pH 7.25 HCO, 19 mEq, PaCO, 30 mm Hg

Correct Answer is D

Explanation

A. pH 7.55, HCO3 30 mEq/L, PaCO2 31 mm Hg: These values indicate respiratory alkalosis with metabolic alkalosis. The pH is elevated, indicating alkalosis. The HCO3 level is elevated, indicating metabolic alkalosis, while the PaCO2 is low, indicating respiratory alkalosis. This pattern is not typically seen in chronic kidney disease.
B. pH 7.30, HCO3 26 mEq/L, PaCO2 50 mm Hg: These values indicate metabolic acidosis with respiratory acidosis. The pH is low, indicating acidosis. The HCO3 level is slightly low, indicating metabolic acidosis, while the PaCO2 is elevated, indicating respiratory acidosis. This pattern is not typically seen in chronic kidney disease.
C. pH 7.50, HCO3 20 mEq/L, PaCO2 32 mm Hg: These values indicate metabolic alkalosis with respiratory alkalosis. The pH is elevated, indicating alkalosis. The HCO3 level is elevated, indicating metabolic alkalosis, while the PaCO2 is slightly low, indicating respiratory alkalosis. This pattern is not typically seen in chronic kidney disease.
D. pH 7.25, HCO3 19 mEq/L, PaCO2 30 mm Hg: These values indicate metabolic acidosis. The pH is low, indicating acidosis. The HCO3 level is decreased, indicating metabolic acidosis, while the PaCO2 is within the normal range. In chronic kidney disease, impaired kidney function leads to the retention of metabolic acids, resulting in metabolic acidosis. This pattern is consistent with chronic kidney disease.

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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

Correct Answer is ["5.6"]

Explanation

A nurse is reviewing the arterial blood gas values of a client who has chronic kidney disease. Which of the following sets of values should the nurse expect?

Correct Answer is D

Explanation

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