A client with frequent tonic-clonic seizures is being admitted. What action should the nurse add to the client's plan of care?

Correct Answer: D

Rationale: The correct answer is D: Have a tongue depressor available at the client's bedside. This is important to prevent the client from biting their tongue during a seizure, which can lead to injury or airway obstruction. Placing blankets around the bed (choice A) is not a priority during a seizure. Refraining from using restraints (choice B) is correct, as restraints can cause harm during a seizure. Positioning the client laterally (choice C) is recommended after the seizure has ended, not during the seizure itself.

Correct Answer: D

Rationale: The correct answer is D, practicing active and assertive communication techniques. This recommendation is effective in reducing potential generational conflicts because clear and direct communication helps bridge the gap between different generations by promoting understanding and mutual respect. By using active listening and assertively expressing thoughts and feelings, team members can communicate effectively and resolve conflicts efficiently. Summary: A: Involving only millennials in technology decisions can lead to exclusion of other generations, increasing conflicts. B: Focusing on the team as a whole is important, but specific strategies for addressing generational differences are necessary. C: Involving only baby boomers in technology decisions can create resentment and conflict among other generations.

Correct Answer: B

Rationale: The correct answer is B: Moral distress. Moral distress occurs when individuals know the ethically correct action to take but are constrained from doing so due to various reasons, such as organizational constraints or lack of support. In this scenario, the nurses feel unease and discomfort due to an ethical issue, indicating a conflict between their moral values and actions. The unit manager addressing the issue at the team meeting suggests that the nurses are experiencing moral distress. A: Moral suffering is a broader term encompassing various negative emotions related to moral issues, not specifically the conflict between knowing the right action and being unable to act on it like in moral distress. C: Ethical dilemma refers to a situation where individuals must choose between conflicting moral principles, which is not explicitly described in the scenario. D: Veracity refers to truthfulness or honesty and is not directly related to the nurses' uneasiness and discomfort in dealing with the ethical issue.

Correct Answer: A

Rationale: The correct answer is A: Autonomy. Autonomy is the ethical principle that emphasizes respecting the patient's right to make their own decisions about their healthcare. In this scenario, the RN respects the patient's autonomy by providing all necessary information and allowing the patient to choose whether or not to accept a blood transfusion, despite the potential risks. This decision-making process aligns with the patient's right to self-determination. Summary of other choices: B: Nonmaleficence - Focuses on avoiding harm to the patient, but in this case, the patient's autonomy takes precedence over nonmaleficence. C: Beneficence - Involves acting in the patient's best interest, but in this scenario, the patient's autonomy to make decisions is the primary focus. D: Distributive justice - Concerns fair distribution of resources, which is not directly relevant to the patient's right to autonomy in decision-making.

Correct Answer: A

Rationale: The correct answer is A: Statutory laws. Statutory laws are specific laws enacted by a legislative body, such as state Nurse Practice Acts, that regulate nursing practice. These laws outline the scope of practice, licensure requirements, and standards of care for nurses. Common laws (B) are based on court decisions and may not specifically govern nursing practice. Administrative laws (C) deal with regulations set by administrative agencies, not specific to nursing. Constitutional laws (D) are related to the constitution and its interpretation, not directly governing nursing practice.