A nurse is in a difficult patient care situation and thinks that there is an ethical dilemma. The first action this nurse should take is to

a. decide what predominant values are operating in the situation.
b. determine who is involved and uncover their individual goals.
c. identify courses of action and possible consequences of actions.
d. identify the actions that are justifiable.


D
The first step in ethical decision making is to determine what actions are justifiable in the situation. Deciding what predominant values are operating in the situation is an important step in ethical decision making, but identification of justifiable actions is the first step.
Determining who is involved and uncovering their individual goals is an important step in ethical decision making, but identification of justifiable actions is the first step.
Identifying courses of action and possible consequences of actions is an important step in ethical decision making, but identification of justifiable actions is the first step.

Nursing

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The nurse is conducting a medication reconciliation of a new resident of a long-term care facility. The nurse notes that the resident takes allopurinol on a daily basis for the treatment of gout. What is the primary purpose of this drug?

A) To balance urate concentration and prevent gout attacks B) To promote the remodeling of damaged synovium C) To potentiate the metabolism of dietary purines D) To achieve pain relief in joints affected by gout

Nursing

As a nurse manager, you observe a staff nurse who over the past few weeks has become withdrawn and has had several absences due to minor ailments. Your best action would be to:

a. Ask the nurse if she is okay during report. b. Refer the nurse to the employee assistance program. c. Ask the nurse to meet with you for a few minutes before she leaves for the day. d. Write a note to the nurse advising her that her work attendance must improve.

Nursing

A nursing instructor has just completed a class on maternal screening tests. When asking the students about the components of the Quad Screen, which response by the students would indicate a need for further teaching? (Select all that apply.)

a. Estriol d. hCG b. Inhibin-A e. MSAFP c. CVS f. NST

Nursing

Which precaution is most important to teach a patient who is prescribed any antidepressant drug?

a. "Avoid drinking grapefruit juice while taking this drug." b. "Avoid drinking alcoholic beverages while taking this drug." c. "Be sure to wear sunscreen and a hat when going outdoors." d. "Drink at least 3 L of fluid every day while taking this drug."

Nursing