Nokea
The nurse understands that many strategies are available to address ethical issues that may occur; these strategies include which of the following? (Select all that apply.)
- A. Change-of-shift report updates
- B. Ethics consultation services
- C. Formal multiprofessional ethics committees
- D. Pastoral care services
Correct Answer: B
Rationale: The correct answer is B: Ethics consultation services. These services involve seeking guidance from experts to navigate complex ethical dilemmas. They provide in-depth analysis and recommendations based on ethical principles, helping healthcare professionals make informed decisions. Change-of-shift report updates (A) are essential for continuity of care but do not directly address ethical issues. Formal multiprofessional ethics committees (C) are valuable for reviewing policies and addressing systemic ethical concerns but may not be readily available for immediate guidance. Pastoral care services (D) offer spiritual support but may not always have the expertise to handle complex ethical dilemmas. Ethics consultation services (B) are the most suitable option for addressing specific ethical issues promptly and effectively.
You may also like to solve these questions
The nurse admits a terminally ill patient to the hospital. What is the first action that the nurse should complete when planning this patient care?
- A. Determine the patient’s wishes regarding end-of-life care.
- B. Emphasize the importance of addressing any family issues.
- C. Discuss the normal grief process with the patient and family.
- D. Encourage the patient to talk about any fears or unresolved issues.
Correct Answer: A
Rationale: The correct answer is A because determining the patient's wishes regarding end-of-life care is crucial in providing patient-centered care and ensuring that the patient's preferences are respected. By understanding the patient's preferences, healthcare providers can tailor the care plan to align with the patient's values and goals. This helps in promoting autonomy, dignity, and quality of life for the patient.
Choices B, C, and D are incorrect because although addressing family issues, discussing grief, and encouraging the patient to express fears are important aspects of caring for a terminally ill patient, they are not the first action that should be completed. Prioritizing the patient's wishes ensures that the care plan is centered around the patient's needs and preferences, which is essential in providing holistic and patient-centered care.
The nurse is caring for a patient with acute respiratory dist ress syndrome who is hypoxemic despite mechanical ventilation. The primary care provider (PCP) orders a nontraditional ventilator mode as part of treatment. Despite sedation and aabnirba.lcgoems/tieas,t the patient remains restless and appears to be in discomfort. The nurse informs the PCP of this assessment and anticipates what order?
- A. Continuous lateral rotation therapy
- B. Guided imagery
- C. Neuromuscular blockade
- D. Prone positioning
Correct Answer: C
Rationale: The correct answer is C: Neuromuscular blockade.
1. Neuromuscular blockade helps to achieve optimal ventilator synchrony by reducing patient-ventilator asynchrony and improving oxygenation in patients with acute respiratory distress syndrome (ARDS).
2. Despite sedation, the patient's restlessness and discomfort suggest inadequate ventilator synchrony, which can be addressed by neuromuscular blockade.
3. Continuous lateral rotation therapy (A) and prone positioning (D) are interventions for improving ventilation and oxygenation in ARDS but do not directly address patient-ventilator synchrony.
4. Guided imagery (B) is a non-pharmacological technique for relaxation and pain management, which may not address the underlying issue of ventilator synchrony in this case.
A critically ill patient is not expected to survive this admission. The family asks the nurse how the patient is doing. When answering this question, what should the nurse include?
- A. Emphasize that the patient is young and strong and may still survive.
- B. Refer the family to the physician for all details and answers.
- C. Give specific information such as descending trends in parameters.
- D. Ask if the family has determined which funeral home will be called.
Correct Answer: C
Rationale: The correct answer is C because providing specific information such as descending trends in parameters helps the family understand the patient's condition objectively. This allows them to prepare emotionally and make informed decisions. Option A is incorrect because false hope should not be given. Option B is not the best approach as the nurse should still provide some information to the family. Option D is inappropriate and insensitive as it focuses on funeral arrangements rather than addressing the family's concerns about the patient's condition.
Which statement reflects adherence to current recommendations concerning open visitation policies?
- A. Allowing animals on the unit; however, these can only be “therapy” animals through the hospital’s pet therapy program.
- B. Allowing family visitation throughout the day except a t change of shift and during rounds.
- C. Determining, in collaboration with the patient and famaiblyirb, .cwomho/te csta n visit and when.
- D. Permitting open visitation by adults 18 years of age and older; limit visits of children to 1 hour.
Correct Answer: C
Rationale: The correct answer is C because it reflects patient-centered care by involving patients and families in decision-making. Collaborating with them on visitation preferences promotes a supportive environment. Choice A restricts animal visitation, not addressing human visitors. Choice B limits visitation during specific times, not individualized. Choice D imposes restrictions based on age, not on patient/family preferences. Therefore, Choice C is the most aligned with current recommendations for open visitation policies.
An unresponsive 79-year-old is admitted to the emergency department (ED) during a summer heat wave. The patient’s core temperature is 105.4°F (40.8°C), blood pressure (BP) 88/50, and pulse 112. The nurse initially will plan to:
- A. Apply wet sheets and a fan to the patient.
- B. Provide O2 at 6 L/min with a nasal cannula.
- C. Start lactated Ringer's solution at 1000 mL/hr.
- D. Give acetaminophen (Tylenol) rectal suppository.
Correct Answer: A
Rationale: The correct answer is A: Apply wet sheets and a fan to the patient. This is the initial treatment for hyperthermia to aid in lowering the body temperature. Wet sheets help in evaporative cooling, while a fan enhances heat loss through convection. This approach is crucial in managing heat-related illnesses quickly. Choices B, C, and D are incorrect as they do not directly address the urgent need to reduce the patient's elevated core temperature. Providing O2, IV fluids, or acetaminophen can be considered later in the management, but the priority is to rapidly lower the body temperature in a hyperthermic patient to prevent further complications.