A patient nearing the end of life requests that he be given no food or fluids. The physician orders the insertion of a nasogastric tube to feed the patient. What situation does this create for the nurse providing care?

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Introduction to Nursing Final Exam Quizlet Questions

Question 1 of 5

A patient nearing the end of life requests that he be given no food or fluids. The physician orders the insertion of a nasogastric tube to feed the patient. What situation does this create for the nurse providing care?

Correct Answer: C

Rationale: The correct answer is C because it highlights the ethical dilemma that arises from conflicting principles of patient autonomy and beneficence. By respecting the patient's wish to refuse food and fluids, the nurse would be supporting autonomy, but by following the physician's order to insert a feeding tube, the nurse would be prioritizing beneficence. This creates a moral distress for the nurse, as they are torn between two valid but conflicting courses of action. A: Following physician's orders is important, but in this case, it conflicts with the patient's autonomy. B: This choice is too extreme and does not address the ethical dilemma at hand. D: While inserting a feeding tube may affect the nurse-patient relationship, the primary issue is the ethical conflict between respecting the patient's wishes and following medical orders.

Question 2 of 5

A student is developing a teaching plan for her assigned patient. The student wants to teach the patient about what symptoms to report after chemotherapy. What would the student need to do first?

Correct Answer: B

Rationale: Step 1: Establish patient-centered care by involving the patient in their own education. Step 2: Asking the patient what they want to know ensures personalized education based on their needs. Step 3: By involving the patient, the teaching plan becomes tailored to their specific concerns and fosters patient engagement. Step 4: This approach promotes patient autonomy and empowerment in managing their health.

Question 3 of 5

The nurse cares for a patient who works in a high stress profession but loves the job. Which term best describes this client's psychological state?

Correct Answer: B

Rationale: The correct answer is B: Eustress. Eustress refers to a positive form of stress that results from situations perceived as challenging but within one's coping abilities. In this case, the patient's high-stress job is perceived as positive and fulfilling, leading to eustress. Distress (A) is negative stress, psychological stress (C) is vague, and situational stress (D) doesn't capture the positive aspect of the patient's experience.

Question 4 of 5

The priority of palliative care is:

Correct Answer: B

Rationale: The correct answer is B: to provide comfort measures. Palliative care focuses on improving the quality of life for patients with serious illnesses by providing comfort, symptom management, and emotional support. Assisted suicide (A) is not a goal of palliative care. Aggressively treating the disease (C) may not always align with the patient's goals and can lead to unnecessary suffering. Aggressively treating the symptoms (D) is important in palliative care, but the primary focus is on providing holistic comfort and support to enhance the patient's well-being.

Question 5 of 5

What action should the nurse take immediately after instilling the prescribed eyedrops into the patient9s eye?

Correct Answer: A

Rationale: The correct action after instilling eyedrops is to press gently on the inner canthus area to prevent systemic absorption through the nasolacrimal duct. This helps minimize side effects and maximize therapeutic effect. Choice B is incorrect as wiping the eyelid can cause contamination. Choice C is unnecessary and can lead to decreased vision. Choice D is incorrect as maintaining pressure on the lower eyelid can disrupt drug absorption and cause irritation. Pressing on the inner canthus is the correct technique to ensure optimal drug delivery and minimize side effects.

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