A nurse removes a fall hazard that is in an older adult client's path. The nurse should identify that this action is an example of which of the following ethical principles?
Fidelity
Autonomy
Veracity
Nonmaleficence
The Correct Answer is D
Rationale:
A. Fidelity: Fidelity refers to faithfulness in keeping promises and maintaining trust in the nurse-client relationship. While important, it does not directly relate to preventing physical harm, as in this scenario.
B. Autonomy: Autonomy involves respecting the client’s right to make independent decisions about their care. Removing a fall hazard is a safety intervention, not a matter of supporting self-determination.
C. Veracity: Veracity is the obligation to tell the truth and provide accurate information. It is not applicable to a physical safety measure like removing a hazard.
D. Nonmaleficence: Nonmaleficence is the duty to do no harm. By removing a fall hazard, the nurse is actively preventing potential injury, thereby upholding this ethical principle through harm prevention.
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Related Questions
Correct Answer is C
Explanation
Rationale:
A. Implement the plan in the health care setting: Implementation is an important part of the quality improvement process, but it follows planning and assessment stages. Executing a plan before confirming its potential effectiveness can lead to ineffective interventions.
B. Test the plan to see if refinements are needed: Testing typically occurs after initial development and evaluation. While it's essential for refining the plan, it should not occur until the plan has been reviewed for its potential to produce meaningful improvements.
C. Determine whether the plan will result in an improvement: The first step in quality improvement planning is evaluating whether the proposed interventions are likely to produce a measurable and positive effect. This ensures that resources and efforts are directed toward impactful changes.
D. Adjust the plan as necessary to improve quality: Adjustments should be made based on data gathered during testing and implementation. Altering the plan before determining its likely impact or testing it limits the ability to identify what actually works.
Correct Answer is D
Explanation
Rationale:
A. Adjust the heparin dosage based on the client's PT level: PT (prothrombin time) monitors warfarin, not heparin. Heparin dosing is adjusted based on the aPTT, which reflects the intrinsic clotting pathway affected by heparin.
B. Wrap the affected area with cool, moist packs intermittently during the day: Cold packs cause vasoconstriction and are not recommended for clients with DVT. They can potentially increase discomfort and impair circulation in the already compromised limb.
C. Administer vitamin K via IM injection for heparin toxicity: Vitamin K is the reversal agent for warfarin toxicity. Heparin toxicity is treated with protamine sulfate, which neutralizes its anticoagulant effects.
D. Apply thigh-high, sequential compression stockings to the client's legs: Applying thigh-high, sequential compression stockings to the client's legs is a suitable action to promote venous return and prevent blood clots. Compression stockings are commonly used in patients at risk of deep-vein thrombosis.
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