A nurse is caring for a group of clients. The nurse demonstrates adherence to the ethical principle of fidelity by doing which of the following?
Keeping an appointment with a client
Allowing a new mother to hold her stillborn infant
Confirming that a client going for surgery has signed a consent form
Refusing to disclose information about a client to the media
The Correct Answer is A
Rationale:
A. Keeping an appointment with a client demonstrates fidelity by honoring commitments and ensuring reliability in care.
B. Allowing a new mother to hold her stillborn infant is compassionate care but relates more to the ethical principle of beneficence.
C. Confirming that a client going for surgery has signed a consent form is related to the principle of autonomy and informed consent.
D. Refusing to disclose information about a client to the media is related to confidentiality, not fidelity.
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Correct Answer is D
Explanation
Rationale:
A. A toddler with asthma and a pulse oximetry reading of 95% is stable and manageable with current oxygen therapy.
B. An adolescent with sickle cell disease is in pain but does not require immediate intervention compared to other scenarios.
C. A toddler with otitis media has a fever and discharge but is not in immediate danger.
D. A school-age child with acute epiglottitis is at high risk for airway obstruction and requires urgent care due to the drooling and absence of spontaneous cough, which are signs of a potentially life-threatening condition.
Correct Answer is D
Explanation
Rationale:
A. Maintaining a client tracking system is crucial for managing large numbers of clients during a disaster.
B. Performing concise client assessment is essential for determining the severity of each client’s condition and prioritizing care.
C. Preventing cross-contamination of clients is important to prevent the spread of toxic substances.
D. Transferring a client to the discharge location is the lowest priority during a disaster, as immediate care and management of acute conditions take precedence over discharge planning.