When nurses are involved in an ethical decision-making situation, what is the correct order of events?
a. Evaluation, clarification of the issues, information gathering about the situation, resolution, ethical reasoning, identification of alternatives and potential outcomes
b. Clarification of the issues, identification of alternatives and potential outcomes, information gathering about the situation, evaluation, ethical reasoning, resolution
c. Information gathering about the situation, evaluation, ethical reasoning, identification of alternatives and potential outcomes, resolution, clarification of the issues
d. Information gathering about the situation, clarification of the issues, identification of alternatives and potential outcomes, ethical reasoning, resolution, evaluation
D
Similar to the problem-solving process and the nursing process, ethical decision making involves information gathering about the situation, clarification of the issues, identification of alternatives and potential outcomes, ethical reasoning, resolution, evaluation. Evaluation is the last step in this process. Clarification of the issues should not occur until information about the situation has been gathered.
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a. Encourage oral fluid intake and administer a diuretic. b. Obtain a urine sample to test for culture and sensitivity. c. Carefully calculate the patient's daily intake and output. d. Obtain an order to straight-catheterize the patient.
The client is receiving a vesicant antineoplastic for treatment of cancer. Which assessment finding would require the nurse to take immediate action?
A) Extravasation B) Stomatitis C) Nausea and vomiting D) Bone pain
The nurse is monitoring an older adult at risk for a urinary tract infection. Which assessment finding is most frequently associated with a symptomatic urinary tract infection in an older adult?
1. Urgency 2. Frequency 3. Confusion 4. Incontinence
The nurse is providing discharge teaching to a client who has had a vacuum aspiration procedure. Which of the following instructions would the nurse include in the discharge teaching plan?
A) Inform the physician immediately if your menses fails to restart in 4 weeks. B) Avoid sexual activity until at least a month after the procedure. C) Use tampons if bleeding after the procedure is excessive. D) Contact the physician immediately if excessive cramping occurs.