This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A 20-year-old client with Down syndrome is diagnosed with an illness. Even though the client is ... (Read 136 times)

cabate

  • Hero Member
  • *****
  • Posts: 537
on: Jul 23, 2018
A 20-year-old client with Down syndrome is diagnosed with an illness.
 
  Even though the client is able to live in an assisted environment and work part-time for a local bookstore, the parents of the client are adamant about not initiating a course of treatment whose side effects are unknown with Down syndrome clients. According to the nursing code of ethics, to whom is the nurse's first loyalty?
  1. The client
  2. The parent
  3. The physician
  4. The nurse

Question 2

The nurse needs to insert an intravenous access device into a toddler who is crying and scared. The parent asks if the procedure is painful. When practicing veracity, what should the nurse respond to the parent?
 
  1. I won't lie to you. It may be easier for you if you step out until we get the line in.
  2. We'll take every care not to hurt your child.
  3. It shouldn't be too bad and I'll be quick.
  4. We do this all the time, so don't worry.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

yasmin

  • Sr. Member
  • ****
  • Posts: 319
Reply #1 on: Jul 23, 2018
Answer to Question 1

Correct Answer: 1
Rationale: The nurse's first loyalty is to the client. Conflicts among obligations to families, physicians, employing institutions, and clients may arise because of the nurse's unique position. It is not always easy to determine which action best serves the client's needs.

Answer to Question 2

Correct Answer: 1
Rationale 1: Veracity refers to telling the truth. Even though telling the truth may frighten the parent, starting an IV on a frightened, scared, ill child is a difficult task. Because of the child's developmental stage, any explanation given by the nurse won't be understood. Being honest with the parent will help the nurse gain trust and will outweigh any benefits that may be gained by downplaying the situation.
Rationale 2: Saying that the nurse will everything possible not to hurt the child will not negate the fact that it will hurt. A needle going into a vein is not a comfortable procedure.
Rationale 3: Saying that the nurse will perform the task quickly is not a sufficient answer to the parent. A needle going into a vein is not a comfortable procedure. The nurse really doesn't know how bad it will hurt the child.
Rationale 4: Telling the parent not to worry is pointless.


cabate

  • Hero Member
  • *****
  • Posts: 537
Reply #2 on: Jul 23, 2018
TY


yasmin

  • Sr. Member
  • ****
  • Posts: 319
Reply #3 on: Jul 23, 2018
You're welcome


« previous next »
 

Did you know?

Illicit drug use costs the United States approximately $181 billion every year.

Did you know?

The oldest recorded age was 122. Madame Jeanne Calment was born in France in 1875 and died in 1997. She was a vegetarian and loved olive oil, port wine, and chocolate.

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?

There are major differences in the metabolism of morphine and the illegal drug heroin. Morphine mostly produces its CNS effects through m-receptors, and at k- and d-receptors. Heroin has a slight affinity for opiate receptors. Most of its actions are due to metabolism to active metabolites (6-acetylmorphine, morphine, and morphine-6-glucuronide).

Did you know?

Approximately 500,000 babies are born each year in the United States to teenage mothers.

Client on IV patient-controlled analgesia (PCA). Client on IV patient-controlled analgesia (PCA).
The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume. The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume.
Common skin signs are often evidence of an illness or disorder. An erosion or ulcer is an eating or ... Common skin signs are often evidence of an illness or disorder. An erosion or ulcer is an eating or ...
Each year, the leaders of the world’s eight most powerful nations meet in a secluded place to make ... Each year, the leaders of the world’s eight most powerful nations meet in a secluded place to make ...
Pathogens That Cause Foodborne Illness (3 of 5) Pathogens That Cause Foodborne Illness (3 of 5)
The frequency of bipolar illness in members of monozygotic twin pairs and in first-degree relatives The frequency of bipolar illness in members of monozygotic twin pairs and in first-degree relatives
Video: Humerus Adduction Animation

For a complete list of videos, visit our video library