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: Correct Answer: B - Autonomy Rationale: 1. Autonomy is the ethical principle that respects an individual's right to make their own decisions. 2. In this scenario, the client is alert and oriented and has expressed the desire to discontinue the ventilator. 3. Continuing treatment against the client's wishes would violate the client's autonomy. 4. Veracity is the principle of truthfulness, fidelity is loyalty, and justice is fairness, none of which directly apply to this scenario.

Correct Answer: C

Rationale: The correct answer is C: Nuclear family. A nuclear family consists of two parents and their children, which aligns with the definition provided by the child's parents. This family form is characterized by a core unit of parents and children living together. A: Extended family includes relatives beyond the nuclear family, such as grandparents, aunts, uncles, and cousins. B: Blended family refers to a family structure that includes stepparents, stepsiblings, or half-siblings from previous relationships. D: Intergenerational family involves multiple generations living together or in close proximity, such as grandparents, parents, and children.

Correct Answer: D

Rationale: The correct answer is D because it involves conflict between individuals (experienced nurse vs. newly licensed nurse), making it interpersonal conflict. This conflict arises from uncivil behavior, impacting their professional relationship. In contrast: A: Disagreement on client weights is a task-related conflict, not interpersonal. B: Uncertainty about joining an organization is an internal conflict, not interpersonal. C: Preference for patient assignments based on personal circumstances is not directly interpersonal conflict.

Correct Answer: C

Rationale: The correct answer is C: Measure and record intake and output for a client. This task can be safely delegated to an assistive personnel (AP) because it is a routine, non-invasive task that does not require critical thinking or nursing judgment. APs are trained to measure and record intake and output accurately under the supervision of a nurse. This task helps monitor a client's fluid balance and is important for assessing their overall health status. Choices A, B, and D are incorrect: A: Perform wound irrigation for a client - This task involves a higher level of skill and requires assessment and decision-making, making it inappropriate for delegation to an AP. B: Evaluate pain relief for a client following the administration of a pain medication - This task requires nursing judgment and assessment of the client's response to pain medication, which should be done by a nurse. D: Teach a client about low-sodium foods - Client education involves providing accurate information, assessing understanding, and addressing individual needs, which require

Correct Answer: B

Rationale: The correct answer is B because ibuprofen tablets can cause severe toxicity if not removed promptly. Gastric lavage helps remove the ingested drug before it is fully absorbed, reducing its effects. Infants with botulism (choice A) require supportive care, not gastric lavage. Swallowing powdered plant food (choice C) may cause irritation but typically does not require gastric lavage. Ingesting vitamins (choice D) generally does not necessitate gastric lavage unless they are in a toxic amount.