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A nurse is caring for a client who is dying. The nurse should incorporate the principle of nonmaleficence into practice by taking which of the following actions?

A.

Withholding a dose of narcotic pain medication when the client has respiratory depression

B.

Discussing advance directives with the client and the client's family

C.

Providing comfort care measures to the client

D.

Allowing the client's family unlimited visitation at the time of death

Answer and Explanation

The Correct Answer is A

Rationale:

 

A. Withholding a dose of narcotic pain medication when there is respiratory depression aligns with nonmaleficence, as it prevents further harm by not exacerbating the client's respiratory issues.

 

B. Discussing advance directives is important but is more related to autonomy and respect for the client’s wishes rather than nonmaleficence.

 

C. Providing comfort care is a supportive measure but does not specifically address nonmaleficence in terms of preventing harm.

 

D. Allowing unlimited visitation respects family wishes but does not directly relate to the principle of nonmaleficence regarding the client’s immediate medical needs.


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View Related questions

Correct Answer is B

Explanation

Rationale:

A. Measuring I&O can be performed by an AP, as it does not require advanced skills or clinical judgment.

B. Reinforcing teaching about medication is within the LPN's scope of practice, as LPNs are trained to provide education and support based on the teaching provided by RNs or physicians.

C. Developing a plan of care is generally a responsibility of the RN, as it involves comprehensive assessment and planning.

D. Completing an admission assessment is a task for RNs due to its complexity and the need for a detailed clinical evaluation.

Correct Answer is B

Explanation

Rationale:

A. Hospice care focuses on comfort and quality of life, not on curing the illness. Therefore, the oncologist would typically shift focus to palliative care.

B. Managing symptoms such as dyspnea is a primary aspect of hospice care, aimed at improving the quality of life.

C. Hospice care is usually for patients with a prognosis of six months or less, not for those with indefinite life expectancy.

D. Hospice care can be provided in various settings, including the patient’s home, not just long-term care facilities.

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