A client's wife has been informed by the physician that her spouse has a permanent C2—C3 spinal injury, which has resulted in permanent quadriplegi
a. The wife states that she does not want the physician or nursing staff to tell the client about his injury. The client is awake, alert, and oriented when he asks his nurse to tell him what has happened. The nurse has conflicting emotions about how to handle the situation and is experiencing
a. autonomy.
b. moral distress.
c. moral doubt.
d. moral courage.
B
The nurse has been placed in a situation initially causing moral distress and is struggling with determining the ethically appropriate action to take. Moral courage is the freedom to advocate for oneself, patients, and peers. Autonomy is an ethical principle. Moral doubt is not part of the AACN framework The 4A's to Rise Above Moral Distress.
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The critical care nurse is caring for a client with bradycardia after cardiovascular surgery. The nurse knows that the heart rate is determined by myocardial cells with the fastest inherent firing rate
Under normal circumstances where are these cells located? A) SA node B) AV node C) Bundle of HIS D) Purkinje cells
: The nurse is preparing daily fluid maintenance for a pediatric patient weighing 99 lbs. The drop factor is 15 gtts/mL. How many gtts/min will the nurse set the infusion?
1. 18 gtts/min 2. 20 gtts/min 3. 21 gtts/min 4. 27 gtts/min
What is the easiest way for a nurse to screen for persons who have or are at risk for developing alcohol- or drug-related problems?
a. A laboratory test, which, although somewhat expensive, is very accurate b. Having teachers watch for inappropriate, inebriated behaviors in the classroom c. Paper-and-pencil tests concerning self-report of personal habits d. Testing a hair sample, which is nonintrusive and relatively inexpensive
A woman age 58 years is suffering from food poisoning after eating at a local restaurant. She has had nausea, vomiting, and diarrhea for the past 12 hours. Her blood pressure is 88/50 and she is diaphoretic. She requires:
A) an access route to administer medications intravenously. B) replacement of fluids for those lost from vomiting and diarrhea. C) an access route to replace fluids in combination with blood products. D) intravenous fluids to be administered on an outpatient basis.