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
The Correct Answer is B
a. A visitor experiencing a minor burn is a safety incident but not necessarily an ethical dilemma.
b. This scenario involves a conflict between parental autonomy and the adolescent's right to refuse treatment, representing an ethical dilemma.
c. This scenario involves a medication error, which is a patient safety issue but not necessarily an ethical dilemma unless there are complex issues surrounding the circumstances of the error.
d. Operating on the wrong side of a client's body is a serious medical error and a patient safety issue but may not inherently involve an ethical dilemma unless there are factors such as informed consent or negligence involved.
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Related Questions
Correct Answer is D
Explanation
A. A client with compromised immunity (e.g., neutropenic precautions) should be placed in a positive air pressure room to protect them from outside contaminants, not a negative air pressure room. Negative air pressure rooms are used for clients with airborne infections, such as tuberculosis.
B. An N95 respirator mask is required for airborne precautions, not droplet precautions. Droplet precautions typically require the use of a surgical mask, not an N95 mask.
C. Contact precautions focus on preventing the spread of infections through direct or indirect contact. A mask is not required for visitors unless the client also has a respiratory infection requiring droplet or airborne precautions.
D. A client on airborne precautions (e.g., for tuberculosis or measles) should wear a mask when leaving the room to prevent the spread of airborne pathogens to others in the facility. This ensures the safety of other clients and staff.
Correct Answer is C
Explanation
a. Educating the client about the risks of refusing the procedure is important but should come after ensuring the client fully understands the procedure itself.
b. Completing an incident report is not necessary in this situation; the focus should be on ensuring the client understands the procedure.
c. Informing the provider that the client requires clarification about the procedure allows for further explanation from a medical professional who can address the client's concerns effectively.
d. While answering the client’s questions is important, if the client does not understand the procedure, further clarification from the provider is necessary to ensure informed consent.
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