Three nurses disagree over the appropriate treatment for a woman who is an excellent candidate for hospice care. The first nurse believes that deciding on care rather than cure is the woman's decision and no one else can decide for her
The second nurse says that it is the responsibility of the health care team to do good for the woman, and if the physician thinks there is still a possibility of cure, then the nurses should do everything they can to implement the treatment plan. The third nurse states that it isn't fair for the family members to expend all their resources on the woman, who is probably going to die anyway. Which of the following conclusions can be drawn from this dispute? (Select all that apply.)
a. Ethical principles can conflict with one another.
b. The nurses are each using different ethical approaches.
c. The first nurse is correct because autonomy demands that the woman decide for herself.
d. There is no single accepted approach for resolving such disagreements.
ANS: A, D
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The nurse is caring for a patient who has a temporary percutaneous dialysis catheter in place. In caring for this patient, the nurse should:
a. apply a sterile gauze dressing to maintain sterility. b. replace the transparent dressing every 10 days to prevent manipulation. c. assess the catheter site for redness and/or swelling. d. use the catheter for drawing blood samples to reduce patient discomfort.
The nurse is assessing CN III (oculomotor), CN IV (trochlear), and CN VI (abducens). Which eye movements would the nurse document as nystagmus? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. The patient's eyes move together through the six cardinal positions of gaze. 2. The patient's eyes "jerk" horizontally instead of moving smoothly. 3. The patient's eyes move in a rotary fashion when attempting to follow the examiner's finger. 4. The patient's eyes cross when following the examiner's finger. 5. The patient's eyelids droop when the eye is moved to the left.
The client has an indwelling urinary catheter. Which does the nurse implement to obtain a urine specimen from this client?
1. Apply sterile gloves for the procedure. 2. Insert small needle into drainage tubing. 3. Clamp the drainage tubing for 30 minutes. 4. Disconnect catheter and drain urine into cup.
A client whose skin has developed a bluish hue is diagnosed by the primary care provider as having cyanosis. What action should the nurse take in this case?
A) The nurse should give the client a tepid bath. B) The nurse should monitor for a sudden increase in temperature. C) The nurse should monitor the oxygen level in the client's bloodstream. D) The nurse should place a cool cloth on the client's forehead.