A nurse is caring for an older adult client who has a terminal illness and is ventilator-dependent. The client is alert and oriented and he wants to discontinue use of the ventilator. The nurse should be aware that continued treatment against the client's wishes is a violation of which of the following ethical principles?

Correct Answer: B

Rationale: The correct answer is B. Autonomy. Autonomy is the ethical principle that respects an individual's right to make their own decisions about their healthcare. In this scenario, the client is alert and oriented and has expressed the wish to discontinue the ventilator. As a nurse, it is important to respect the client's autonomy and honor their decision. Continuing treatment against the client's wishes would be a violation of their autonomy. Explanation for other choices: A. Veracity: Veracity refers to honesty and truthfulness. In this scenario, the issue is not about honesty but about respecting the client's wishes. C. Fidelity: Fidelity refers to being faithful and honoring commitments. While fidelity is important in nursing practice, in this case, it is more relevant to respect the client's autonomy. D. Justice: Justice refers to fairness and equality. While justice is important in healthcare, in this scenario, the main concern is respecting the client's autonomy and right to make decisions about their own

Correct Answer: B

Rationale: The correct answer is B: Obtain vital signs. Vital signs are essential in assessing the client's overall condition and detecting signs of hemorrhage or shock. Delegating this task to the AP allows the nurse to prioritize immediate assessment and intervention. Changing the dressing (A) requires sterile technique and assessment skills. Palpating for bladder distention (C) and observing the incision site (D) require more advanced assessment skills and interpretation, which should be done by a licensed nurse.

Correct Answer: C

Rationale: The correct answer is C: Review the events leading up to each medication administration error. This strategy should be initiated first because it allows the committee to identify root causes of errors and understand contributing factors. By analyzing the events leading up to each error, the committee can pinpoint system weaknesses, communication breakdowns, or training gaps that may have led to the errors. This information is crucial for developing targeted interventions to prevent future errors. A: Providing an inservice on medication administration to all nurses may be beneficial, but without understanding the specific causes of errors, the inservice may not address the underlying issues that need to be corrected. B: Requiring staff nurses to demonstrate competency through an examination is important, but it is more effective as a follow-up step once the root causes of errors have been identified and addressed. D: Developing a quality improvement program for nurses involved in errors is important, but it is more effective after understanding the specific issues that need to be addressed through reviewing the events leading up to errors

Correct Answer: A

Rationale: The correct answer is A because attaining a healthy weight is crucial in treating anorexia nervosa to address malnutrition and restore physical health. Weight restoration is a primary goal to prevent serious medical complications and improve overall well-being. Choices B, C, and D are important aspects of treatment but may not be as critical as achieving a healthy weight for a client with anorexia nervosa. Making positive statements about body image, feeling in control of behavior, and identifying family changes are important for the client's mental and emotional well-being, but without addressing the physical aspect of malnutrition, the client's health remains at risk.

Correct Answer: C

Rationale: The correct answer is C because the RN from the maternal-newborn unit would have experience in postoperative care and would be familiar with the care needs of a client one-day postoperative following a total abdominal hysterectomy. This assignment aligns with the nurse's skill set and background, ensuring safe and competent care delivery. Choice A is incorrect because a client with terminal end-stage renal disease would require specialized care typically provided by nurses with nephrology experience. Choice B is incorrect as acute pancreatitis management often requires specific interventions and monitoring that may not be within the RN's expertise from a maternal-newborn unit. Choice D is also incorrect as a client who had a stroke may require neurological assessments and interventions that the RN may not be prepared to provide.