Which statement made to a client by the nurse reflects the principle of accountability?

"I am sorry for the delay in getting back to you: I was running late."

"The healthcare team will work around your prayer time so you can receive your treatment."

"Do you have any questions about your treatment plan?"

"I am going to review your allergies before I give you this medication."

Answer and Explanation

The Correct Answer is A

Professional accountability in nursing requires accepting responsibility for one's actions, clinical judgments, and the resulting patient outcomes within the scope of practice. This ethical principle ensures transparency, maintaining the integrity of the nurse-patient relationship while upholding established standards of care and institutional policies.

Rationale:

A. Admitting a personal error or delay represents the core of professional responsibility and ownership of one's actions. By acknowledging they were running late, the nurse demonstrates honesty and takes direct responsibility for a lapse in the expected timeline of patient care.

B. This statement reflects the principle of advocacy and cultural competence rather than individual responsibility for an action. Accommodating a prayer time demonstrates holistic care and respect for patient autonomy, ensuring that the treatment plan aligns with the client's spiritual values.

C. Encouraging a client to ask questions is an application of informed consent and patient-centered communication. This approach promotes autonomy and ensures the client is an active participant in their own care, but it does not involve the nurse's admission of responsibility.

D. Reviewing allergies before medication administration is a standard safety procedure reflecting the principle of nonmaleficence. While it is a required task, the statement itself describes a preventative action to ensure safety rather than an admission of responsibility for a specific outcome or behavior

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is B

Explanation

Inhalation anthrax, caused by Bacillus anthracis spores, involves rapid germination in mediastinal lymph nodes leading to hemorrhagic mediastinitis and septicemia. It is not transmitted person-to-person; rather, it results from direct aerosolized spore inhalation or cutaneous exposure to infected animal products.

Rationale:

A. Respiratory precautions are not indicated because inhalation anthrax does not spread through large droplets from the oropharynx. While the initial symptoms mimic a viral prodrome, the bacteria remain localized within the mediastinum and blood rather than respiratory secretions.

B. Standard precautions are the clinical requirement for anthrax because the disease is not contagious between humans. Healthcare workers utilize gloves and gowns only if expecting contact with body fluids or open skin lesions, as direct transmission does not occur.

C. Contact precautions are unnecessary unless the patient has draining cutaneous anthrax lesions that could contaminate the environment. For inhalation cases, the spores are already internalized and do not pose a cross-contamination risk to staff through normal physical contact or fomites.

D. Airborne precautions are reserved for pathogens like Mycobacterium tuberculosis that travel via small-particle aerosols from coughing. Though anthrax spores are inhaled, the vegetative cells present during active infection are not shed into the air by the patient.

Correct Answer is ["100"]

Explanation

Step 1: Identify the formula
gtt/min = (Total volume × Drop factor) ÷ Time (in minutes)

Step 2: Convert time to minutes
2 hours × 60 = 120 minutes

Step 3: Insert values
= (200 × 60) ÷ 120

Step 4: Calculate
= 12000 ÷ 120
= 100 gtt/min

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Which statement made to a client by the nurse reflects the principle of accountability?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is brought to the emergency department with possible inhalation anthrax. Which precautions should the staff take?

Correct Answer is B

Explanation

The provider prescribes 200 mL DSW IV to be infused over 2 hours. The drop factor for the IV tubing is 60 gtt/mL. How many gtt/min should the nurse deliver? Round to the whole number.

Correct Answer is ["100"]

Explanation

The registered nurse (RN) is the leader of a team on a unit that utilizes a team approach. Which clients should the RN care for? Select All That Apply

The client is in the cardiac intensive care unit on dopamine, and BP increases to 210/130. Which action should the nurse take first?

A nurse is preparing to administer 40 mEq of potassium chloride in 45% sodium chloride (NaCl) 500 mL IV to infuse 10 mEq/hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is planning care for a client who requires bilateral arm restraints because the client is delirious and attempting to pull out a urinary retention catheter. Which information is important to consider when planning care for this client? Select All That Apply.

The nurse is evaluating the arterial blood gas and vital signs of a client admitted with abdominal pain of unknown etiology who has a nasogastric tube draining green bile. Which action should the nurse take first?

A nurse on a bioterrorism committee is developing a brochure to increase public awareness about the threat of inhalation anthrax. Which information should the nurse plan to include in the brochure?