Identify three internal and three external constraints that can lead to moral distress

What will be an ideal response?


Correct answers may include the following points.
o External constraints: physicians; law; nursing administration; hospital administration/policy
o Internal constraints: fear of job loss; self-doubt; sense of futility based on previous experience

Nursing

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A client, who has undergone a percutaneous transluminal coronary angioplasty (PTCA), has received discharge instructions. Which statement by the client would indicate the need for further teaching by the nurse?

A) "I should avoid taking a tub bath until my catheter site heals." B) "I should expect a low-grade fever and swelling at the site for the next week." C) "I should avoid prolonged sitting." D) "I should expect bruising at the catheter site for up to 3 weeks."

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The nurse is caring for a 27-year-old patient with a diagnosis of head trauma. The nurse notes that the patient's urine output has increased tremendously over the past 18 hours. The nurse suspects that the patient may be developing:

a. diabetes insipidus. b. diabetic ketoacidosis. c. hyperosmolar hyperglycemic syndrome. d. syndrome of inappropriate secretion of antidiuretic hormone.

Nursing

The nurse is assessing a patient who presents with depression. Which medication found during the health history assessment could be the cause for this depression?

1) Tricyclic antidepressants 2) Amphetamines 3) Anticholinergics 4) Oral contraceptives

Nursing

The nurse explains to the client with human immunodeficiency virus (HIV) infection

that HIV infection compromises the body's immune mechanism, thus predisposing the client to a number of opportunistic infections. What cell does HIV specifically invade? A) Erythrocytes B) Granulocytes C) Lymphocytes D) Platelets

Nursing