« previous next »

Author Question: The nurse on a rehabilitation unit is caring for a 77-year-old patient who had undergone total knee ... (Read 99 times)

azncindy619

  • Hero Member
  • *****
  • Posts: 562
on: Jul 22, 2018
The nurse on a rehabilitation unit is caring for a 77-year-old patient who had undergone total knee replacement surgery. Since surgery, the patient has had several instances of urinary incontinence.
 
  The health care provider is contemplating the order of a Foley catheter. What is the nurse's best response to this suggestion? a. Perhaps you could order intermittent straight catheter insertions instead?
  b. I think it would be better to put a disposable undergarment on her.
  c. Could we try a toileting schedule before you order the Foley?
  d. I think that is a good idea; it will prevent skin breakdown.

Question 2

A registered nurse knows that an oncology patient undergoing a bone marrow transplant will spend weeks in isolation in the hospital. During that time the patient will be at an increased risk for infection and other complications and may not recover.
 
  The nurse ensures that the patient has been given information regarding the risks and potential benefits of the procedure. The nurse is following which ethical principle? a. Autonomy
  b. Justice
  c. Fidelity
  d. Nonmaleficence


Mollythedog

  • Sr. Member
  • ****
  • Posts: 340
Reply #1 on: Jul 22, 2018
Answer to Question 1

C
You are in a strategic position to serve as a patient advocate by suggesting noninvasive alternatives to catheterization use. For example, you may decrease the risk for UTI by suggesting the use of a bladder scanner to evaluate bladder urine volume without invasive instrumentation or implement a toileting schedule for the incontinent patient. Be aware of indications for catheter insertion and be prepared to advocate for the patient if the indications do not meet accepted guidelines.

Answer to Question 2

D
The principle of nonmaleficence (do no harm) promotes a continuing effort to consider the potential for harm even when it is necessary to promote health. It is helpful in guiding your discussions about new or controversial technologies. Autonomy deals with independence and self-determination. Justice refers to fairness or equity of health care resources. Fidelity refers to maintaining promises and faithfulness.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

As of mid-2016, 18.2 million people were receiving advanced retroviral therapy (ART) worldwide. This represents between 43–50% of the 34–39.8 million people living with HIV.

Did you know?

Though methadone is often used to treat dependency on other opioids, the drug itself can be abused. Crushing or snorting methadone can achieve the opiate "rush" desired by addicts. Improper use such as these can lead to a dangerous dependency on methadone. This drug now accounts for nearly one-third of opioid-related deaths.

Did you know?

For high blood pressure (hypertension), a new class of drug, called a vasopeptidase blocker (inhibitor), has been developed. It decreases blood pressure by simultaneously dilating the peripheral arteries and increasing the body's loss of salt.

Did you know?

In women, pharmacodynamic differences include increased sensitivity to (and increased effectiveness of) beta-blockers, opioids, selective serotonin reuptake inhibitors, and typical antipsychotics.

Did you know?

In ancient Rome, many of the richer people in the population had lead-induced gout. The reason for this is unclear. Lead poisoning has also been linked to madness.

The mammalian urinary system including the basic functional unit of the nephron. The mammalian urinary system including the basic functional unit of the nephron.
Position of patient following seizure Position of patient following seizure
All messages must be documented and placed in the patient's chart. All messages must be documented and placed in the patient's chart.
Flexion of the hip with flexed knee Flexion of the hip with flexed knee
Charlie Stone wants to retire in 30 years, and he wants to have an annuity of $1000 a year for ... Charlie Stone wants to retire in 30 years, and he wants to have an annuity of $1000 a year for ...
Inadequate Airway, Breathing and Circulation in the Trauma Patient (Part 3) Inadequate Airway, Breathing and Circulation in the Trauma Patient (Part 3)
Video: Apicomplexan life cycle Animation

For a complete list of videos, visit our video library