Ethical Legal
This is the duty to tell the truth. It means that one does not intentionally deceive or mislead clients.
What is Veracity?
A nurse is caring for a client who just delivered a newborn. Following the delivery, this nursing action should be done first to care for the newborn.
What is clear the airway?
This loop diuretic is used to reduce fluid overload in patients with heart failure, hypertension, or edema.
What is Furosemide?
The nurse should avoid performing this outdated physical assessment technique because it can dislodge a clot.
What is the Homan's Sign?
The nurse should choose a smaller-gauge IV catheter for this population to minimize vein trauma.
Who are elderly patients or those with fragile veins?
This is the duty to keep one's promises or word.
What is Fidelity?
A nurse is caring for a client who is having a nonstress test performed. The fetal heart rate (FHR) is 130 to 150/min, but there has been no fetal movement for 15 min. This will be the first action the nurse does.
What is offer mom a snack to try waking baby up?
A patient taking pyridostigmine who suddenly develops severe muscle weakness, bradycardia, and bronchospasm may be experiencing this emergency.
What is cholinergic crisis?
The nurse should place a patient with herpes zoster on these two types of precautions until lesions are crusted.
What are contact and airborne precautions?
If the patient experiences cramping during a cleansing enema, the nurse should do this first.
What is slow the rate of infusion or temporarily stop the enema?
This is practice that is below the standard of care. The benchmark for standard of care is what a reasonable, prudent person who has similar background and experience would do.
What is Negligence?
Your patient presents with a headache and blurred vision. BP 190/92 and pain 10/10. You expect an order for this medication.
What is Magnesium Sulfate?
Patients taking warfarin should be educated to maintain a consistent intake of foods containing this nutrient.
What is Vitamin K?
During an Addisonian crisis, the nurse expects to administer this IV treatment immediately.
What are IV corticosteroids and fluids?
In cirrhosis, elevated ammonia levels can cause this neurological complication.
What is hepatic encephalopathy?
In health care, this is the principle underlying informed consent, the right to refuse treatment, and the right to appoint a surrogate decision maker.
What is Autonomy?
Your patient is on Oxytocin to augment labor. You see the fetal heart rate has been at 82bpm for 2 minutes. This will be your priority intervention.
What is stop the Oxytocin and turn mom to L side?
Signs of magnesium toxicity include loss of reflexes, respiratory depression, and this additional complication.
What is oliguria?
The nurse should closely monitor this electrolyte, which can drop dangerously low due to repeated vomiting.
What is Potassium?
If peritonitis is suspected in a patient on peritoneal dialysis, the nurse should assess the dialysate for this abnormal finding.
What is cloudy effluent?
A nurse is caring for a client who is dying of metastatic breast cancer. She has a prescription for an opioid pain medication PRN. The nurse is concerned that administering a dose of pain medication might depress the clients respirations. This ethical principle will support the decision not to administer the medication
What is Nonmaleficence?
The duty to do no harm. The ethical mandate of nonmaleficence is that health care workers refrain from intentionally inflicting harm to clients.
Your patient's LMP was July 12. Based on Naegele's rule, the due date will be this.
What is April 19?
If a patient receiving sodium polystyrene develops muscle weakness, ECG changes, or arrhythmias, the nurse should suspect this complication.
What is hypokalemia?”
A nurse should immediately report tremors, confusion, and excessive thirst in a patient taking lithium because these are signs of this complication.
What is lithium toxicity?
The priority nursing action for a patient with facial burns and hoarseness after a house fire.
What is assess the airway and prepare for intubation?