A nurse manager is leading a discussion about ethical dilemmas. Which of the following situations should the nurse manager include as an example of an ethical dilemma?

A visitor experiences a minor burn after spilling coffee

A parent wants her 14-year-old adolescent to receive radiation treatment against his will

A nurse witnesses another nurse administer an incorrect medication

A client receives an operation on the wrong side of her body

Answer and Explanation

The Correct Answer is B

a.   While unfortunate, a minor burn from spilling coffee does not present an ethical dilemma.
b.   This situation involves a conflict between parental authority and the adolescent's autonomy, representing an ethical dilemma.
c.   This situation may involve ethical considerations, such as whether to report the error, but it does not inherently involve conflicting moral principles.
d.   Operating on the wrong side of the body represents a medical error rather than an ethical dilemma.

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Correct Answer is D

Explanation

- A: Night sweats and fever could indicate an infection or a chronic condition, which, while important, may not require immediate attention compared to life-threatening conditions.
- B: Compound fractures are serious and require medical attention, but they are not immediately life-threatening if the patient is stable.
- C: Severe vomiting and diarrhea can lead to dehydration and electrolyte imbalance, which are concerning but can be managed with prompt treatment and do not typically pose an immediate threat to life.
- D: Soot markings around the naris indicate possible inhalation injury from a fire, which is a critical condition that can rapidly worsen and lead to airway compromise, making it the highest priority for immediate assessment and intervention.

A. Include the time the medication error occurs in the report B. Make a copy of the incident report for personal record-keeping C. Identify the medication name and dosage administered to the client in the report D. Place a copy of the completed report in the client's medical record E. Obtain an order from the client's provider to complete the report

Correct Answer is ["A","C"]

Explanation

a. Including the time the medication error occurred is important for accurately documenting the sequence of events and providing context for further investigation or review.
b. Making a copy of the incident report for personal record-keeping may not be necessary as the incident report is typically filed in the institution's records system.
c. Identifying the medication name and dosage administered to the client is essential for understanding the nature and severity of the medication error and guiding subsequent actions or interventions.
d. Placing a copy of the completed report in the client's medical record, which is inappropriate because incident reports are internal documents and not part of the client's health record.
e. Obtaining an order from the client's provider to complete the report may not be necessary as incident reporting is typically a standard practice and does not require provider authorization.

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A nurse manager is leading a discussion about ethical dilemmas. Which of the following situations should the nurse manager include as an example of an ethical dilemma?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse working in an emergency department is performing triage. To which of the following clients should the nurse assign priority?

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Correct Answer is ["A","C"]

Explanation

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