When providing care for clients who must make complex genetic decisions, what is the nurse's most important action?
1. Do not compromise personal ethics.
2. Obtain informed consent for all procedures.
3. Provide personalized and nonjudgmental care.
4. Assure that the clients are provided with the most current information to make decisions.
3
Rationale 1: The nurse may need to refrain from discussing personal ethics and may be in the position of supporting clients whose ethics do not match the nurse's.
Rationale 2: This is a critical intervention but is not as most important as another.
Rationale 3: Provision of personalized and nonjudgmental care is always the most important nursing consideration.
Rationale 4: Educating the client is a primary nursing responsibility but is not as important as another intervention.
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A client with acute renal failure has jugular vein distention, lower extremity edema, and elevated blood pressure. Based on this data, which nursing diagnosis is the most appropriate?
A) Ineffective Renal Tissue Perfusion B) Excess Fluid Volume C) Risk for Altered Cardiac Perfusion D) Risk for Infection
The nurse reinforces the information given by the physician that endarterectomy as an interven-tion for stroke prevention is reserved for people who have carotid obstruction of more than:
a. 30%. b. 40%. c. 50%. d. 60%.
The nurse is breaking client confidentiality when:
A) the nurse reports that a postpartum client has multiple bruises on the abdomen that she relates were the result of spousal abuse. B) the nurse reports to the local health department that a client has tested positive for rubella. C) the nurse reports to a nurse supervisor that a newly diagnosed pregnant adolescent has threatened suicide. D) the nurse calls the parents of a 14-year-old who has requested birth control.
A nurse was so angry at a family for not being home when the nurse arrived for their appointment that the nurse wanted to drop the family from the agency caseload. What would the agency supervisor need to point out to the nurse?
a. Clients can have emergencies that interfere with plans. b. Communication about the time of the appointment may not have been clear. c. Nurses expect promptness and compliance, but not all clients feel the same way. d. Perhaps the nurse made an error in writing down the appointment date and time.