The nurse on the transplant organ team encounters new ethical dilemmas with the advent of social and technological changes. Which dilemmas might the transplant team encounter today? Select all that apply
A) Cloning
B) Genetic alteration of disease
C) Determining who "deserves" treatment
D) Healthcare provider loyalty to insurance companies
E) Staffing issues
Answer: A, B, C
Advances in the ability to decode and control the growth of tissues through gene manipulation present new potential ethical dilemmas related to cloning organisms and altering the course of hereditary diseases and biological characteristics. Today, with treatments that can prolong and enhance biologic life, these questions arise: Should we do what we know we can? Who should be treated-everyone, only those who can pay, only those who have a chance to improve? Who decides who receives treatment?
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The LPN is preparing to add a new IV of D5W with potassium to an existing line. The LPN notices that there is only 25 mL of urine collected over the last hour. The LPN's best inter-vention is to:
1. not hang the IV with potassium; inform the RN of urine output. 2. run the IV rapidly for 30 minutes to stimulate urine production. 3. call the MD who ordered the potassium. 4. hang the IV as ordered and chart output.
The nurse documents that the client has a written living will. What is the best description of a living will?
A) Document in which the client states the types of treatment desired to receive or not to receive if a terminal situation arises B) Designates a person of the client's choice to make healthcare decisions should the client become incompetent C) Document in which healthcare personnel are informed that if the person experiences cardiopulmonary arrest, that a "code blue" should not be called D) Document in which healthcare personnel are informed not to start tube feeding and to keep the client as comfortable as possible
A hospital has recently implemented a barcode point of care (BPOC) system. This system will require the nurse to
A) scan barcodes on patients' charts and their wristbands before administering drugs. B) cross-check physicians' orders and patients' medication administration records. C) scan patient wristbands and medication containers prior to medication administration. D) provide an electronic record of his or her nursing activities over the course of a shift.
Cancer of the lung is the most common cancer of the lower respiratory tract; it is the leading cause of all cancer ________.
Fill in the blank(s) with the appropriate word(s).