A home care nurse visits a client who is confined to bed and is cared for by her daughter. The daughter is known to suffer from chemical dependence. The home is cluttered and unclean
During the assessment the nurse notes that the client is wet with urine and has dried feces on her buttocks, and demonstrates signs of dehydration. After caring for the client, the nurse contacts the physician and reports the incident to Adult Protective Services. This is an example of which ethical framework?
A) Justice
B) Autonomy
C) Nonmaleficence
D) Fidelity
Ans: C
The principle of nonmaleficence means to avoid doing harm, to remove harm, and to prevent harm. Autonomy means to respect the rights of clients or their surrogates to make healthcare decisions. Justice means to give each his or her due. Fidelity means to keep promises.
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Which of the following would prevent cross-contamination by direct contact and decrease the risk of infection in the burn-injured patient?
a. Gloves are the only personal protective equipment worn when changing dressings that are in direct contact of body fluids. b. Family members only have to wear a gown when visiting a patient because masks will increase anxiety in the patient. c. Changing gloves and hand washing should be done when moving from area to area on the same patient. d. Sharing of equipment between patients in the same room does not show evidence of cross-contamination.
A client with otitis media asks how an infection can occur that deep into the ear. The best response by the nurse is:
1. "The eustachian tube is connected to the nasopharynx." 2. "The eardrum only protects the inner ear from infection." 3. "The infection begins because you put your fingers in your ear." 4. "Swimming introduces bacteria into the middle ear."
In a professional liability insurance policy which person or group is considered the policyholder?
1. The insurance agent who sells the policy 2. The insurance company that provides the coverage 3. The nurse who purchases the policy 4. The party against whom a suit is filed
A resident has osteoarthritis. The person is most likely to have joint stiffness:
a. With rest and lack of motion b. With exercise c. With weight-bearing d. With joint motion