A nurse is having difficulty with the decision for aggressive cancer therapy in an elderly client, knowing that the client will be subjected to harmful chemicals. This nurse is struggling with which of the following principles?
1. Autonomy
2. Justice
3. Beneficence
4. Nonmaleficence
4. Nonmaleficence
Rationale:
Nonmaleficence is the duty to "do no harm.". Intentionally harming someone is never acceptable in nursing. In this scenario the elderly client would be placed at risk as a consequence of a nursing intervention that would likely cause more harm than good.. Autonomy refers to the right to make one's own decisions. Justice is often referred to as fairness. Beneficence means "doing good.". In this case the benefits are not known, making the harm more real. Aggressive cancer therapy is difficult to endure, and given the age of the client, this case is more suggestive of nonmaleficence than beneficence.
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A nurse is presenting an educational event for a group of new parents. One topic that the nurse addresses is the overuse of acetaminophen, which can cause liver toxicity. What would the nurse tell the parents it is important to do?
A) "Do not give acetaminophen (Tylenol) unless you receive a doctor's order." B) "Check the label of over-the-counter (OTC) medications carefully to watch for inclusions of acetaminophen in the ingredients." C) "Monitor their child's temperature carefully and regulate the Tylenol dose based on the fever." D) "Mix OTC children's medications to get the best coverage for their child's symptoms."
Which of the following documents provides documented evidence for meeting criteria of promotion?
A) Reference list B) Nursing portfolio C) Cover letter D) Résumé
The paramedic should administer promethazine (Phenergan) by:
A) diluting it in 20 mL of normal saline and giving it over 1 to 2 minutes. B) rapid IV push undiluted, as this will minimize the risk of vascular injury. C) mixing it with 25 mg of diphenhydramine in order to prevent dystonia. D) diluting it in 50 to 100 mL of normal saline and giving it over 30 minutes.
The nurse is preparing to assess a patient with mental illness. On which area should the nurse focus when assessing the patient's cognitive functioning? (Select all that apply.)
1. Memory 2. Judgment 3. Emotional status 4. Thought processes 5. State of consciousness