A client, being treated with chemotherapy and radiation for terminal cancer, decides to stop any further treatment and enter the hospice program. The nurse realizes this client's decision is supported by the ethical principle of:
1. autonomy.
2. nonmaleficence.
3. beneficence.
4. justice.
2
Nonmaleficence is the use of ability, judgment, or skill to help someone else without intent to cause injury or harm. In this case, nonmaleficence can support the option of not providing further aggressive or invasive treatment that could cause injury or harm. Autonomy is a self-rule that is free from interference by others and from limitations that prevent a meaningful choice. Beneficence means to be of benefit to others. Justice is a principle whereby all people who seek health care should receive the best possible treatment available with dignity and respect.
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A child is diagnosed with juvenile idiopathic arthritis and is receiving several different medications listed in the medication administration record. Which agent would the nurse identify as being used to prevent disease progression?
A) Aspirin B) Prednisone C) Ibuprofen D) Methotrexate
Which of the following laboratory studies or diagnostic procedures is most useful in identifying central diabetes insipidus (DI)?
a. Skull radiographs b. Serum glucose level c. Water deprivation test d. Antidiuretic hormone (ADH) stimulation test
The nurse is providing health education at a community center. Which instructions should the nurse include in teaching about prevention of lightning injuries during a storm? (Select all that apply.)
a. Seek shelter inside a building or vehicle. b. Seek shelter under a tall tree. c. Do not take a bath or shower. d. Turn off the television. e. Remove body piercings. f. Put down golf clubs or gardening tools.
The nurse assumes care of a patient who had surgery that morning. The provider has ordered hydrocodone (Lortab) every 4 hours for mild to moderate pain and morphine sulfate for moderate to severe pain
The nurse reviews the patient's record and notes the patient has received two doses of hydrocodone 4 hours apart for a pain level of 7 to 8 on a scale of 1 to 10 and has reported a decrease in pain to a level of 6 to 7 after 30 minutes. It has been 4 hours since the last dose, and the patient reports a pain level of 7. What will the nurse do? a. Administer the hydrocodone. b. Administer morphine. c. Ask the patient which drug to give. d. Notify the provider of the patient's current pain level.