The family of a patient who is near death makes the difficult decision to allow the physician to administer a pain-relieving drug to the patient with the intention of making the patient more comfortable, despite the fact that the drug may increase
the risk for complications that could lead to the patient's death. The principle involved in the family's decision is known as which of the following?
A) Principle of moral distress
B) Principle of palliative care
C) Principle of unintended consequences
D) Principle of double effect
D
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The nurse is assisting an older adult patient out of bed when suddenly the patient begins to fall. What is the likely cause of the fall?
a. Fever b. Orthostatic hypotension c. Dehydration d. A decrease in venous return
The nurse is caring for a client with sickle cell anemia. The nurse teaches the client that the inherited alteration of which type of hemoglobin causes the abnormal shape to the red blood cell?
A) Hgb A B) Hgb S C) Hgb B D) Hgb E
A patient who has been taking nalidixic acid (NegGram) for a urinary tract infection is now diagnosed with a respiratory infection
The patient asks, "Will the nalidixic acid I'm taking cover both infections?" Select the nurse's best response. a. "The drug you are on will cover you for organisms in the respiratory tract as well. Continue taking it as prescribed." b. "To cover the respiratory tract infection, you will need two additional doses of this medication." c. "This drug can actually cause respiratory tract infections, so you should discon-tinue it immediately." d. "The drug you're taking has no action outside the urinary tract. You will need an additional antibiotic for the respiratory tract infection."
The nurse is preparing to admit a 5-year-old with spina bifida cystica that was below the second lumbar vertebra. What clinical manifestations of spina bifida cystica below the second lumbar vertebra should the nurse expect to observe?
(Select all that apply.) a. No motor impairment b. Lack of bowel control c. Soft, subcutaneous lipomas d. Flaccid, partial paralysis of lower extremities e. Overflow incontinence with constant dribbling of urine