A nurse notes that a client is confused, impulsive, and unstable with mobility. The nurse fears the client is in danger of harming themselves so they ask for a sitter to stay at the bedside to keep the client company and minimize the risk for falls. What ethical principle is the nurse demonstrating?

Nonmaleficence

Veracity

Fidelity

Beneficence

Answer and Explanation

The Correct Answer is A

The correct answer is choice A. By asking for a sitter to stay at the bedside to keep the client company and minimize the risk for falls, the nurse is demonstrating the ethical principle of nonmaleficence. Nonmaleficence refers to the duty to do no harm to the client, and in this case, the nurse is taking proactive steps to prevent harm to the client by ensuring their safety and well-being. Veracity (choice B) refers to the principle of truthfulness and honesty in communication, fidelity (choice C) refers to the principle of keeping promises and maintaining trust in the nurse-client relationship, and beneficence (choice D) refers to the principle of promoting good and doing what is in the best interest of the client. While all of these principles are important in nursing practice, the nurse in this scenario is primarily demonstrating nonmaleficence by taking action to prevent harm to the client.

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Correct Answer is D

Explanation

Upon discovering that the client's abdominal wound has been eviscerated, the nurse should immediately cover the wound area with sterile gauze moistened with sterile 0.9% normal saline. This will help to protect the exposed organs and prevent them from becoming dry or exposed to contaminants. Pouring hydrogen peroxide into the abdominal cavity can cause further damage to the exposed organs and is not recommended. Similarly, normal saline should be gently poured on the area to moisten it, but organs should not be placed back into the cavity as this can cause further injury. Attempting to close the wound area with reinforced adhesive skin closures is also not appropriate as the wound needs to be assessed and repaired by a healthcare provider. The nurse should call the healthcare provider and provide ongoing assessment and support to the client while waiting for further interventions.

A. Infectious agent B. Susceptible host C. Portal of exit D. Reservoir

Correct Answer is D

Explanation

The correct answer is D. Reservoir. A reservoir is a source of infection where infectious agents can live and reproduce. In the case of food poisoning, the contaminated food serves as the reservoir of infectious agents, such as bacteria or viruses, that cause the illness. Other examples of reservoirs include animals, soil, water, and contaminated medical equipment. The contaminated food can be a potential source of infection for anyone who consumes it, and it is important to properly handle and prepare food to prevent the spread of illness. By identifying and controlling the source of the infection, such as the contaminated food, healthcare providers can help prevent the spread of infectious diseases.

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Naxlex Comprehensive Predictor Exams

Upon responding to the client's call bell, the nurse discovers the client's abdominal wound has been eviscerated. Initial nursing management includes calling the healthcare provider and which other initial action?

Correct Answer is D

Explanation

A patient develops food poisoning from contaminated food. The contaminated food would be an example of which part of the infectious cycle?

Correct Answer is D

Explanation

A nurse caring for a post-operative client observes the drainage in the client's closed wound drainage system. The drainage is dark red in color. The nurse documents the drainage as which of the following?

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