Author Question: A nurse is faced with an ethical dilemma with a client. The nurse plans to make the decision about ... (Read 47 times)

mpobi80 · **on:** Jul 22, 2018

A nurse is faced with an ethical dilemma with a client. The nurse plans to make the decision about action by:

1. Relying on the nurse's own judgment.
2. Deciding based on the policy of the agency.
3. Investigating all aspects of the situation.
4. Examining all conflicts in the situation.

Question 2

A client is receiving procainamide hydrochloride for treatment of a dysrhythmia. Which of the following would indicate the client is adhering to the medication instruction provided?

1. The client will take the medication with food.
2. The client will monitor the pulse and not take the medication if the pulse is less than 60.
3. The client will take the medication as directed, even when feeling well.
4. The client will take the medication on an empty stomach.

dawsa925 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3. Investigating all aspects of the situation.

Rationale:
In order to avoid making a premature decision, the nurse plans to investigate all aspects of the dilemma before deciding. Overconfidence can lead to poor decision making. Reading the agency policy regarding the matter addresses only one aspect of the situation. Examining the conflicts surrounding the issue is only one aspect of the situation to consider.

Answer to Question 2

3. The client will take the medication as directed, even when feeling well.

Rationale:
It is very important for clients to understand that medication must be taken as directed, even if the client is feeling well. Procainamide hydrochloride can be taken on an empty stomach. The beta-adrenergic blocking drugs cause bradycardia, not Group 1A cardiac antiarrhythmic drugs like procainamide hydrochloride. Procainamide hydrochloride can be taken with food.