Four patients in labor all request epidural analgesia to manage their pain at the same time. Which ethical principle is most compromised when only one nurse anesthetist is on call?

Nonmaleficence

Beneficence

Justice

Fidelity

Answer and Explanation

The Correct Answer is C

A. Nonmaleficence involves preventing harm, but the ethical issue here centers around fairness rather than harm.
B. Beneficence focuses on doing good and providing benefits, but the concern here is not about maximizing benefit but rather ensuring equitable treatment.
C. Justice refers to fairness and equitable treatment. In this scenario, the nurse anesthetist’s limited availability to administer epidural analgesia to all four patients creates an issue of fairness. Only one patient can be treated at a time, compromising the equal allocation of resources.
D. Fidelity involves being loyal, faithful, and honoring commitments, but the issue in this case is resource allocation, not trust or loyalty.

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Correct Answer is A

Explanation

A. The patient, while competent, has the right to make decisions regarding organ donation. The nurse should ensure that the patient's wishes are formally documented in the form.
B. The nurse should not contact the organ donation organization directly; the proper form must be signed by the patient first.
C. While it is important to involve the family, the patient’s wishes should be respected and documented first.
D. Notifying the healthcare provider is important, but the priority is to document the patient's decision regarding organ donation.

A. Going to the bathroom B. Taking a bath C. Making a phone call D. Getting dressed

Correct Answer is C

Explanation

A. Going to the bathroom is an example of basic activities of daily living (ADLs).
B. Taking a bath is an example of basic activities of daily living (ADLs).
C. Instrumental activities of daily living (IADLs) include tasks that support independent living, such as making phone calls, managing finances, and shopping. This is a higher level of activity compared to basic activities of daily living (ADLs).
D. Getting dressed is an example of basic activities of daily living (ADLs).

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Four patients in labor all request epidural analgesia to manage their pain at the same time. Which ethical principle is most compromised when only one nurse anesthetist is on call?

Nursing Test Bank

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