ATI RN
The Basics of Bioethics Ethical Issues in Cancer Patient Care Questions
Question 1 of 5
A(n) ___________ is the removal of a sample of tissue for diagnosis
Correct Answer: A
Rationale: The correct answer is A: Biopsy. A biopsy involves removing a sample of tissue for analysis and diagnosis. This procedure helps in identifying diseases or conditions. Arthroscopy (B) is a minimally invasive surgical procedure to visualize and treat joint problems. Telemetry (C) is a method of monitoring and transmitting data wirelessly. Bronchoscopy (D) is a procedure to visualize the airways in the lungs, not specifically for tissue sampling. In conclusion, only a biopsy involves tissue removal for diagnostic purposes.
Question 2 of 5
The dying person's right to be free from pain includes
Correct Answer: A
Rationale: Step-by-step rationale for why choice A is correct: 1. The dying person's right to be free from pain is a fundamental aspect of compassionate care. 2. Receiving pain medication when needed ensures the person's comfort and dignity in their final moments. 3. Pain management is a key component of palliative care to improve quality of life. 4. By providing pain medication when needed, the person's suffering can be alleviated, promoting a peaceful transition. Summary: Choice A is correct because it aligns with the ethical principle of beneficence by prioritizing the dying person's well-being and dignity. Choices B, C, and D are incorrect as they disregard the person's right to pain relief, lack empathy, and fail to address the person's physical comfort.
Question 3 of 5
Which of the following interventions are recommended guidelines for meeting patient postoperative elimination needs?
Correct Answer: B
Rationale: The correct answer is B) Assess for the return of peristalsis by auscultating bowel sounds every 4 hours when the patient is awake. This option is the recommended guideline for meeting a patient's postoperative elimination needs because monitoring bowel sounds helps in tracking the return of peristalsis, which is crucial for normal gastrointestinal function and elimination post-surgery. Option A is incorrect as assessing abdominal distention alone may not provide a comprehensive picture of the patient's elimination needs. Option C is incorrect as encouraging dairy products and low-fiber foods may not be suitable for all patients postoperatively and could potentially worsen gastrointestinal issues. Option D is incorrect as assessing for bladder distention does not directly address postoperative elimination needs related to bowel function. In an educational context, it is essential to understand the importance of monitoring bowel sounds as a reliable indicator of gastrointestinal function post-surgery. Nurses and healthcare providers need to be knowledgeable about proper postoperative care guidelines to ensure optimal patient outcomes and prevent complications related to elimination issues. By understanding and implementing recommended interventions, healthcare professionals can promote effective patient recovery and well-being.
Question 4 of 5
A nurse is providing perineal care to a female patient. In which direction would the nurse move the washcloth?
Correct Answer: A
Rationale: In the context of providing perineal care to a female patient, moving the washcloth from the pubic area toward the anal area (Option A) is the correct direction. This technique is essential in preventing the introduction of bacteria from the anal area to the urethra and vagina, reducing the risk of urinary tract infections and other complications. By wiping front to back, the nurse maintains proper hygiene practices that align with infection control protocols. Option B, moving from the anal area to the pubic area, is incorrect because it can introduce bacteria from the rectal area to the vaginal and urethral regions, leading to potential infections. This direction contradicts basic principles of perineal care and may compromise the patient's health. Option C, moving from side to side within the labia, is also incorrect as this motion does not effectively prevent the spread of bacteria from the anal region to the urethra. It is important to emphasize the importance of a unidirectional wiping technique to maintain hygiene and reduce infection risks. Option D, stating that the direction does not make any difference, is inaccurate and potentially harmful advice. Proper technique in perineal care is crucial for maintaining patient comfort, dignity, and health. Nurses must be well-versed in these practices to deliver safe and effective care to patients, especially those with compromised immune systems or vulnerable to infections. Educationally, it is imperative to ensure that healthcare providers understand the rationale behind front-to-back wiping during perineal care. Reinforcing proper technique through education and training helps to standardize care practices, minimize risks of infection, and uphold patient safety and well-being. By emphasizing evidence-based practices in bioethics and patient care, healthcare professionals can deliver high-quality, ethical care that promotes positive patient outcomes.
Question 5 of 5
An immobile person has decreased movement of respiratory secretions. What condition is a greater risk as a result?
Correct Answer: A
Rationale: The correct answer is A) respiratory tract infection. When an immobile person experiences decreased movement of respiratory secretions, it can lead to stagnant secretions in the respiratory tract. Stagnant secretions create an environment where bacteria can easily grow, increasing the risk of developing a respiratory tract infection. This is a common issue in individuals with limited mobility, such as cancer patients who may be bedridden or have difficulty moving. Option B) increased gas exchange is incorrect because decreased movement of respiratory secretions does not necessarily impact gas exchange directly. Option C) greater thoracic expansion is incorrect as it is not directly related to the risk posed by stagnant secretions. Option D) increased respiratory rate is incorrect because simply increasing the respiratory rate does not address the underlying issue of stagnant secretions which can lead to infection. In an educational context, understanding the implications of decreased movement of respiratory secretions in immobile individuals is crucial for healthcare providers, especially those caring for cancer patients. Proper positioning, mobilization techniques, and respiratory care interventions are essential to prevent complications such as respiratory tract infections. By recognizing the risks associated with immobility and respiratory issues, healthcare professionals can implement preventive strategies to ensure better patient outcomes.