Which of the following is/are nurses' obligation(s) when confronted with an ethical dilemma? (SELECT ALL THAT APPLY)

Support both the client and the family

Inform the family and client of nurse's personal beliefs

Carry out the hospital's policies

Refer the issue to the physician since this is not a nurse's responsibility

Maximize the client's well being

Answer and Explanation

Correct Answer : A,C,E

A. Support both the client and the family: Nurses have an obligation to support both the client and their family when confronted with an ethical dilemma. This support may involve providing information, facilitating communication, and ensuring that the client's and family's concerns are addressed appropriately.

B. Inform the family and client of nurse's personal beliefs: While nurses may have personal beliefs, it is not ethically appropriate to impose these beliefs on clients or their families. Nurses should maintain professional boundaries and provide care that respects the client's autonomy and values without imposing their own beliefs.

C. Carry out the hospital's policies: Nurses are expected to adhere to the policies and procedures of the healthcare facility where they work. However, if a policy conflicts with ethical principles or legal obligations, nurses should advocate for changes to the policy or escalate the issue through appropriate channels.

D. Refer the issue to the physician since this is not a nurse's responsibility: Nurses have a professional responsibility to address ethical issues within their scope of practice. While collaboration with other healthcare team members, including physicians, is important, nurses should not automatically defer ethical issues to physicians without attempting to address them within their own capacity.

E. Maximize the client's well-being: One of the primary obligations of nurses in ethical dilemmas is to maximize the client's well-being. This includes advocating for the client's rights, providing compassionate care, and promoting the client's best interests while respecting their autonomy and preferences.

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Correct Answer is ["B","C","D"]

Explanation

A. Administering diuretics as ordered: This option is not appropriate for dehydration management. Diuretics are medications that increase urine output and are typically used to treat fluid overload rather than dehydration. Administering diuretics to a dehydrated client could exacerbate fluid loss and worsen the condition.

B. Providing good skin and mouth care: This is a suitable intervention for managing dehydration. Dehydration can lead to dry skin and mucous membranes. Providing good skin care, including moisturizing, can help prevent skin breakdown. Additionally, ensuring adequate oral hygiene and providing moist mouth swabs can alleviate discomfort associated with dry mouth.

C. Monitoring intake and output: This is an essential nursing intervention for managing dehydration. Monitoring the client's fluid intake and output allows the nurse to assess the balance between fluid intake and loss. Decreased urine output is a common sign of dehydration, while monitoring intake helps ensure the client is receiving adequate fluids.

D. Obtaining daily weights: This is an appropriate nursing intervention for managing dehydration. Daily weights can help assess changes in fluid balance. A sudden increase in weight may indicate fluid retention, while a decrease may indicate ongoing fluid loss, both of which are important to monitor in dehydration.

A. polyuria. B. retention. C. oliguria. D. anuria.

Correct Answer is C

Explanation

A. Polyuria: Polyuria refers to abnormally large volume of urine output, typically exceeding 2.5 to 3 liters per day in adults. It is often associated with conditions such as diabetes mellitus, diabetes insipidus, or certain medications that increase urine production. Urinating 250 mL over 24 hours does not meet the criteria for polyuria.

B. Retention: Urinary retention refers to the inability to completely empty the bladder, leading to accumulation of urine. It is characterized by difficulty initiating urination or incomplete bladder emptying. Urinating 250 mL over 24 hours does not indicate urinary retention.

C. Oliguria: Oliguria is defined as diminished urine output, typically less than 400 mL per day in adults. It is a common sign of kidney dysfunction or acute kidney injury. Urinating 250 mL over 24 hours falls within the range of oliguria, indicating decreased urine production compared to normal.

D. Anuria: Anuria is the absence of urine production or excretion, typically defined as urine output less than 100 mL per day. It is often indicative of severe kidney dysfunction, renal failure, or obstruction of the urinary tract. While the client's urine output of 250 mL over 24 hours is low, it does not meet the criteria for anuria.

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Which of the following is/are nurses' obligation(s) when confronted with an ethical dilemma? (SELECT ALL THAT APPLY)

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Naxlex Comprehensive Predictor Exams

The nurse caring for a client diagnosed with dehydration recognizes that which of the following are appropriate nursing interventions? (SELECT ALL THAT APPLY)

Correct Answer is ["B","C","D"]

Explanation

The nurse is caring for a client who has kidney disease. The client has urinated 250 mL over the past 24 hours. The nurse describes this urine output as:

Correct Answer is C

Explanation

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