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 C
Explanation
Choice A rationale
Running electrical cords under carpeting poses a fire hazard by trapping heat and increasing the risk of insulation damage. This practice significantly increases the likelihood of electrical fires or shocks, making it unsafe for home environments.
Choice B rationale
Setting the refrigerator temperature to 7.2°C (45°F) compromises food safety, as harmful bacteria can grow at this temperature. The recommended refrigerator temperature is ≤4.4°C (≤40°F) to prevent foodborne illnesses and maintain food quality.
Choice C rationale
Disposing of unused medications prevents accidental ingestion or misuse, especially in households with children or vulnerable individuals. Proper disposal reduces environmental contamination and aligns with safety standards for managing medical waste.
Choice D rationale
Keeping the water heater set below 60°C (140°F) minimizes the risk of scalding injuries while ensuring adequate water temperature for hygiene purposes. However, the recommended maximum water heater setting is 49°C (120°F) for optimal home safety. .
Correct Answer is B
Explanation
Choice A rationale
An esophagogastroduodenoscopy is an invasive diagnostic procedure requiring sedation and involves potential risks such as perforation or bleeding. Due to the nature of these risks and necessary preparation, it mandates informed consent rather than falling under the scope of general consent for treatment.
Choice B rationale
Insertion of an NG tube to low intermittent suction is considered a routine intervention for gastrointestinal management. General consent typically encompasses such noninvasive bedside procedures as they are part of standard medical care without requiring specific informed consent.
Choice C rationale
Administration of 1 unit of fresh frozen plasma entails potential risks, including allergic reactions, fluid overload, or infection transmission. Specific informed consent is needed for blood product administration to ensure patient understanding of the risks, benefits, and alternatives.
Choice D rationale
An abdominal CT scan with contrast introduces risks associated with contrast agents, such as nephrotoxicity or allergic reactions. It is a more invasive diagnostic tool requiring specific informed consent to address potential adverse effects and preparation required.
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