A client undergoing renal dialysis is on a transplant list awaiting a suitable donor
Since donors are scarce and transplant candidates are selected according to greatest need and greatest possibility of successful transplant, you realize the client may undergo dialysis for many months or even years. Which ethical principle does this situation represent? a. beneficence c. material principle of justice
b. justice d. nonmaleficence
C
Justice is the principle of fairness requiring that all people be treated equally and that scarce resources be distributed on the basis of individual need. Unequal treatment can be justified according to the material principle of justice, such as Veterans Affairs health care facilities designated for only those who serve or served in the military.
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An older man who is a smoker is hospitalized for orthopedic surgery. A nurse takes the oppor-tunity to provide smoking cessation education. The patient asks the nurse: "I have been smoking for most of my life, and I am an old man
Why are you wasting your time telling me to stop smoking? Isn't it too late?" The nurse bases the response on the knowledge that: a. smoking cessation as late as age 75 can reduce premature death by up to 50%. b. smoking cessation as late as age 75 can completely eliminate premature death. c. smoking cessation at a late age will not impact the smoker but can reduce expo-sure of family members to second-hand smoke. d. smoking cessation education is only effec-tive in individuals under age 75.
The nurse is performing an assessment on a 13-year–old adolescent. Which of the following findings would be unexpected?
1. Apical heart rate of 110 beats per minute 2. Respiratory rate of 14 breaths per minute 3. Blood pressure of 98/58 4. Temperature of 98.8 degrees Fahrenheit
When giving an end-of-shift report for patients on an oncology wing of the hospital, the exiting nurse describes a patient's response to a pain medication administered by the nurse
The nurse receiving the report should question the validity of which of the following statements by the exiting nurse? 1. "The patient reported arm pain and was medicated for the pain.". 2. "The patient stated that the pain was relieved after heat was applied.". 3. "The patient is resting quietly in bed.". 4. "The patient's blood pressure is normal so the pain is gone.".
A young nurse with no experiences of death in her own life is having a difficult time caring for terminally ill children and their families. What is the best approach for the nurse to take in caring for these families?
A) Focus on the physical needs of the patient; the nurse's job is to care for those aspects of the child's needs B) Ask another nurse to perform those tasks that involve discussions with the patients and their caregivers C) Ask her supervisor to allow her to attend a seminar on dealing with the terminally ill and to recommend books and articles that will help her understand death better D) Recognize that the bad thing is not happening to her, and face her responsibility to care for all of the needs of the patient