When a nurse respects the decision of a client who refuses a blood transfusion, which ethical principle is the nurse upholding?

Beneficence.

Self-determination.

Justice.

Fidelity.

Answer and Explanation

The Correct Answer is B

Self-determination. Self-determination is the ethical principle that respects the right of a person to make their own decisions. When a nurse respects the decision of a client who refuses a blood transfusion, the nurse is upholding this principle by acknowledging and protecting the client’s autonomy.

Choice A is wrong because beneficence is the ethical principle that involves actively seeking benefits or the promotion of good.

While a blood transfusion may be beneficial for the client, it is not the nurse’s role to impose their own judgment on the client’s choice.

Choice C is wrong because justice is the ethical principle that involves fairness and the just distribution of resources.

A blood transfusion is not a scarce resource that needs to be allocated among competing demands.

Choice D is wrong because fidelity is the ethical principle that involves keeping promises and being faithful to one’s commitments.

A blood transfusion is not a promise or a commitment that the nurse has made to the client.

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Correct Answer is B

Explanation

“My medication will be given at the scheduled times to best manage my pain.” This statement demonstrates understanding of the pain management plan because it shows that the client knows the importance of preventing pain from becoming severe by taking medication regularly. Scheduled administration of analgesics is more effective than administering them on demand.

Choice A is wrong because it implies that the client will wait until the pain is severe before asking for medication, which can make it harder to control.

Choice C is wrong because it suggests that the client expects to receive inadequate pain relief due to their history of opioid abuse, which is not ethical or evidence-based.

Choice D is wrong because it indicates that the client believes they will be denied any narcotics for pain, which is also not ethical or

evidence-based. Clients with a history of opioid abuse can still receive opioids for acute pain, but they may need higher doses or more frequent administration to achieve adequate analgesia.

Normal ranges for vital signs are as follows: respiratory rate 12-20 breaths per minute, heart rate 60-100 beats per minute, blood pressure 120/80 mmHg, temperature 36.5-37.5°C (97.7- 99.5°F).

A. Toileting routine. B. Kegel exercises. C. Surgery. D. Anticholinergic drug therapy.

Correct Answer is A

Explanation

A toileting routine is the priority intervention for a client diagnosed with total urinary incontinence because it helps to prevent skin breakdown, infection, and odor. It also promotes dignity and comfort for the client.

Choice B. Kegel exercises are wrong because they are not effective for total urinary incontinence, which is the complete loss of bladder control. Kegel exercises are more useful for stress or urge urinary incontinence, which are caused by weak pelvic floor muscles.

Choice C. Surgery is wrong because it is not a priority intervention for total urinary incontinence.

Surgery may be considered a last resort option if other conservative measures fail to improve the condition. Surgery may also have risks and complications that need to be weighed against the benefits.

Choice D. Anticholinergic drug therapy is wrong because it is not a priority intervention for total urinary incontinence.

Anticholinergic drugs are used to treat overactive bladder or urge urinary incontinence, which are caused by involuntary bladder contractions. Anticholinergic drugs may have side effects such as dry mouth, constipation, blurred vision, and confusion.

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When a nurse respects the decision of a client who refuses a blood transfusion, which ethical principle is the nurse upholding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse has developed a pain management plan for a client who has a history of opioid drug abuse. Which of the following statements by the client demonstrates understanding of the pain management plan?

Correct Answer is B

Explanation

Which nursing action is the priority intervention for a client diagnosed with total urinary incontinence?

Correct Answer is A

Explanation

A client has been taking aspirin 325 mg six to eight times a day for the past two weeks to control pain from a knee injury. Which symptom reported by the client should the nurse report to the health care provider (HCP) for priority follow-up?

The health care provider orders a trough level of an antibiotic administered every twenty four hours. When should the nurse plan for a trough level to be drawn?

Which statement, if made by an older client diagnosed with urinary incontinence, indicates a need for further teaching?

A nurse is teaching a group of middle age adults about various types of hepatitis. What statement by one of the group members indicates correct understanding of the differences?

A client in the clinic states, “I already told you I can’t come back on Friday.” Which response by a nurse would be likely to repair the client-nurse relationship?

A nurse is teaching a client with newly diagnosed hemophilia about home care practices. What statements by the client indicate that teaching has been effective? Select all that apply.

Which nursing action is most important after administering nitroglycerin sublingually?