Author Question: A nurse is ambivalent as to the need to vigorously suction the secretions of a terminal client in a ... (Read 54 times)

jon_i · **on:** Jul 23, 2018

A nurse is ambivalent as to the need to vigorously suction the secretions of a terminal client in a comatose state. Which of the following is an appropriate statement by the nurse in regard to pro-cessing an ethical dilemma?

1. I just feel like I should not suction this client.
2. I need to know the legalities of the living will of this client.
3. I cannot figure out what's right in this situation. I need to collect more data.
4. My spiritual beliefs mandate that I continue to provide all the interventions in my scope of practice.

Question 2

A nursing student that immediately informs her clinical instructor after she realizes that she has administered the wrong dose of medication to a patient is best described professionally as:

1. Confident
2. Trustworthy
3. Compliant
4. Accountable

Loise Hard · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 3
The first step in processing an ethical dilemma is determining whether the problem is an ethical one. The nurse who cannot figure out what is right, is stating a characteristic of an ethical dilem-ma, which is that the problem is perplexing. The next step is to gather as much information as possible that is relevant to the case. I just feel like I should not suction this client is the nurse is stating the problem according to her feelings. I need to know the legalities of the living will of this client is the nurse who wants to know the legalities of the living will of a client is collecting some, but not all, data pertaining to the problem. My spiritual beliefs mandate that I continue to provide all the interventions in my scope of practice is the nurse stating her own beliefs.

Answer to Question 2

ANS: 4
Accountability refers to the ability to answer for one's own actions. The goal is the prevention of injury to the client. The student nurse who informs her instructor of an error is being accountable for her actions and has a goal to prevent injury to the client. The student nurse would not be de-scribed professionally as confident (i.e., sure of oneself). The student is not best described as trustworthy. To be trustworthy, one is worthy of trust or confidence and reliable. In this case, the student was not reliable to administer medication correctly. This student nurse is not best de-scribed professionally as compliant. The student is not acting in accordance with wishes, com-mands, or requirements.