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.
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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Related Questions
Correct Answer is A
Explanation
Choice A rationale
Closing the door prevents the spread of smoke and fire to other areas, protecting clients and staff. This action aligns with the RACE (Rescue, Alarm, Contain, Extinguish) protocol to contain fire hazards effectively while prioritizing safety.
Choice B rationale
Reporting fire details is crucial but should occur after ensuring client safety and containment of the fire. Early containment by closing the door prevents escalation, reducing the risk of harm to others in the facility.
Choice C rationale
Activating the fire alarm is important; however, containment actions such as closing the door take precedence to manage the immediate fire hazard. Containment minimizes risks while allowing subsequent emergency actions to occur.
Choice D rationale
Turning off electrical equipment is important but secondary in prioritization. Containing the fire’s spread by closing the door first ensures broader safety for all. Electrical disconnection can follow once the immediate hazard is managed.
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. .
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