A nurse is supervising a licensed practical nurse (PN) who is providing care to a client who is postoperative. Which of the following statements by the client requires the nurse to follow up with the PN?

Correct Answer: D

Rationale: The correct answer is D because the client not receiving any medications is a critical issue that requires immediate follow-up to ensure the client's safety and well-being. A, B, and C are not urgent concerns and can be addressed by the nurse or PN at a later time. A is related to non-essential comfort, B is a common query about discharge, and C is about routine care already provided. Thus, D stands out as the most concerning statement that necessitates immediate attention.

Correct Answer: B

Rationale: The correct answer is B because roast beef, mashed potatoes, and green beans are all considered safe food choices for a client receiving filgrastim for neutropenia. Roast beef provides protein, mashed potatoes are a good source of carbohydrates, and green beans offer essential vitamins and minerals. Grilled chicken sandwich (A) may contain harmful bacteria if not cooked properly. Peanut butter sandwich (C) and barbecue beef (D) can harbor potential pathogens that may be harmful to a compromised host. Skim milk (A) is generally safe, but the entire meal should be considered.

Correct Answer: D

Rationale: The correct answer is D: place the hands or a folded blanket under the head of the child. This action is important during a seizure to prevent injury to the child's head by providing cushioning and support. Placing something soft under the head helps protect the child from hitting the hard surface. It is crucial to ensure the child's safety during a seizure. Moving chairs or desks (Choice A) may not be necessary and could potentially cause unnecessary disruption. Noting the sequence of movements (Choice B) may be helpful for medical professionals but is not the most crucial action during the seizure. Providing privacy (Choice C) is important, but ensuring the child's safety by supporting the head takes precedence.

Correct Answer: B

Rationale: The correct answer is B because hospice care is focused on providing comfort and support for individuals with terminal illnesses, such as cancer, who are nearing the end of their life. Clients in hospice care often require assistance with pain management to ensure their comfort and quality of life. Choice A is incorrect because diabetes mellitus with difficulty self-administering insulin due to poor eyesight does not meet the criteria for hospice care. Choice C is incorrect because recovering from a stroke and needing care while the spouse is at work does not indicate a terminal illness requiring hospice services. Choice D is incorrect because dementia and needing help with activities of daily living, while challenging, do not necessarily indicate a terminal condition warranting hospice care.

Correct Answer: D

Rationale: The correct answer is D: Nonmaleficence. The nurse is displaying the ethical principle of nonmaleficence by protecting the surgeon's right to privacy and confidentiality. By refusing to disclose the surgeon's medical diagnosis, the nurse is upholding the duty to do no harm by preventing potential harm that could result from unauthorized disclosure. This action also respects the surgeon's autonomy and right to control their own personal health information. Summary: A: Utility - This ethical principle focuses on maximizing overall benefit or happiness. The nurse's action does not relate to this principle. B: Paternalism - This ethical principle involves making decisions on behalf of the patient for their own good. The nurse's action does not involve making decisions but rather respecting the surgeon's autonomy. C: Justice - This ethical principle pertains to fairness and equal treatment. The nurse's action does not directly relate to this principle in this scenario.