A nurse on a medical-surgical unit is caring for four clients.
Which of the following actions by the nurse demonstrates fidelity?

Stopping feeding for a client who becomes short of breath.

Telling a client she will return with a medication and she does.

Dividing time and care evenly between clients.

Administering a pain medication to a client before ambulation.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Stopping feeding for a client who becomes short of breath demonstrates clinical judgment rather than fidelity. Fidelity specifically involves loyalty and adherence to commitments made to the client, which is not evidenced in this action.

Choice B rationale

Telling a client she will return with a medication and doing so exemplifies fidelity. It demonstrates the nurse's reliability and dedication to fulfilling promises or commitments made to the client, building trust and maintaining professional integrity.

Choice C rationale

Dividing time and care evenly between clients highlights fairness rather than fidelity. While fairness ensures equal treatment, fidelity focuses on maintaining trust and honoring specific promises or commitments made to individuals.

Choice D rationale

Administering a pain medication to a client before ambulation reflects prioritization of care and pain management. However, it does not illustrate fidelity, which involves fulfilling promises or responsibilities that the nurse has explicitly committed to.

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Correct Answer is C

Explanation

Choice A rationale

HS is not approved due to potential misinterpretation as “half-strength” or “hour of sleep.”. The Joint Commission discourages its use to prevent medication errors, emphasizing clarity and standardization in prescription terminology.

Choice B rationale

QD is not an approved abbreviation due to the risk of confusion with QID (four times daily). The Joint Commission recommends writing “daily” instead to minimize errors in medication administration, which could have serious consequences.

Choice C rationale

PO is an approved abbreviation universally understood as “by mouth.”. It is clear, unambiguous, and compliant with safety standards, reducing the likelihood of misinterpretation in medical contexts.

Choice D rationale

SQ is not approved due to potential confusion with SL (sublingual) or SC (subcutaneous). The recommended term is “subcut” or “subcutaneous,” ensuring that instructions for medication administration remain precise and error-free. .

A. A provider who suspects partner violence asks to speak with the client alone. B. A client requests that a nurse provide information by telephone to their partner. C. A dietitian prescribes a kosher meal tray for a client who practices the Orthodox Jewish faith. D. A nurse does not provide an interpreter for a client who speaks a different language than the nurse.

Correct Answer is D

Explanation

Choice A rationale

Asking to speak privately with a client suspected of experiencing partner violence is appropriate. It ensures confidentiality and creates a safe environment for the client to disclose sensitive information, aligning with legal and ethical practices.

Choice B rationale

Sharing information with a client’s partner over the phone requires patient authorization due to confidentiality under HIPAA regulations. While concerning, legal violations occur only if the nurse acts without explicit consent.

Choice C rationale

A dietitian prescribing a kosher meal for a client observing Orthodox Jewish dietary laws respects cultural and religious preferences, supporting patient-centered care without any legal implications.

Choice D rationale

Failure to provide an interpreter for a client who speaks a different language is a potential legal issue. It violates the patient’s right to effective communication under federal laws like the Americans with Disabilities Act (ADA) and Title VI of the Civil Rights Act.

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A nurse on a medical-surgical unit is caring for four clients.Which of the following actions by the nurse demonstrates fidelity?

Nursing Test Bank

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A nurse on a medical-surgical unit is caring for four clients.
Which of the following actions by the nurse demonstrates fidelity?