The nurse on a rehabilitation unit is caring for a 77-year-old ...

[azncindy619]

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]

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.