The nurse supports an older client's autonomy; which decision supports this ethical principle?
1. Client wants to see case management for Medicaid resources.
2. Client decides to stop further chemotherapy treatments.
3. Client is given more education regarding medication side effects.
4. Client treatment information is kept from client because of family request.
2. Client decides to stop further chemotherapy treatments.
Explanation: 1. Justice involves fairness and equal distribution of resources to all in need.
2. Autonomy is the respect for a client's self-determination, freedom, and rights including the right to refuse treatment.
3. Beneficence is the principle of doing "good" and not doing harm to clients.
4. Nondisclosure is an ethical issue when persons who care about a client, such as family, do not want a client to be told the entire facts of a negative prognosis in order to protect the client from anxiety and fear.
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The nurse is assisting the client to overcome his fear of public places. The nurse and the client are in which of the following phases of the therapeutic relationship?
A) Preinteraction B) Orientation C) Working D) Termination
The nurse caring for a patient with crushing injuries from an auto accident is horrified to find the patient bleeding profusely from the nose, mouth, and rectum, as well as from the injuries. The nurse assesses this emergency situation as:
1. hemophilia. 2. disseminated intravascular coagulation (DIC). 3. leukemia. 4. thrombocytopenia.
The nurse would expect a patient with respiratory acidosis to have an excessive amount of
a. Carbon dioxide. b. Bicarbonate. c. Oxygen. d. Phosphate.
A breastfeeding mother calls the pediatric clinic concerned about her 4-day-old baby's failure to gain weight. She states that the infant has lost several ounces since birth
The most appropriate response by the nurse would be: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "Newborns tend to lose about 5% to 10% of their birth weight because of failure to give adequate supplements when breastfeeeding.". 2. "Newborns grow approximately 1 inch a month in the first 6 months. You will need to increase feedings to compensate for the growth spurt.". 3. "Newborns have an initial weight loss in the first 3–4 days. Your baby's weight loss is normal.". 4. "Newborns lose a lot of heat, so make sure you keep the baby's formula warm when you supplement the breast milk.". 5. "Keep the baby from getting chilled or too warm, because that can contribute to weight loss.".