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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 A

Explanation

Rationale:

A. An experienced nurse being uncivil to a newly licensed nurse is an example of interpersonal conflict, as it involves direct interaction and disagreement between individuals.

B. Uncertainty about joining a professional organization is a personal decision and not an interpersonal conflict.

C. Disagreements about the timing of client weights are more related to procedural issues than interpersonal conflicts.

D. Not wanting to care for a terminally ill client due to personal loss is a personal issue rather than an interpersonal conflict.

Correct Answer is D

Explanation

Rationale:

A. Agency policies for the LPN are important but secondary to ensuring the tasks fall within the scope of practice.

B. The documented experience level of the LPN is relevant but should be considered in conjunction with the scope of practice.

C. The documented skill level of the LPN is important for assigning tasks but must align with legal scope of practice.

D. State Nurse Practice Act for the LPN is the priority criterion as it defines the legal scope of practice and ensures that tasks delegated to the LPN are within their legal and professional boundaries.

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