Author Question: The nurse is working in a busy ICU with a client who was in a motor vehicle accident. The physician ... (Read 25 times)

cabate · **on:** Jul 22, 2018

The nurse is working in a busy ICU with a client who was in a motor vehicle accident. The physician in charge asks the nurse to extubate the client because there is no communication between the brain and body of the client due to a cervical fracture.

The family agrees with the decision of the physician, but the nurse is uncomfortable pulling the tube. The nurse is experiencing difficulty because of: 1. An ethical decision.
2. Personal values.
3. Cultural values.
4. Legal issues.

Question 2

The nurse and doctor are discussing treatment options for a client diagnosed with benign prostatic hypertrophy (BPH) with the client and his wife.

The client expresses an interest in trying an alternative therapy, as he has read that this has been effective in relieving symptoms. The nurse is aware that which of the following is an alternative therapy? 1. Laser surgery
2. Treatment with dutasteride (Avodart)
3. Use of phytotherapy
4. Balloon uretoplasty

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

Answer to Question 1

2. Personal values.

Rationale:
The nurse is distressed because of personal values, which are in conflict with causing the client's death. The decision is within ethical principles. Cultural values are not in evidence in this instance. Extubating this client would not be a legal decision.

Answer to Question 2

3. Use of phytotherapy

Rationale:
Phytotherapy includes use of barks and roots of the saw palmetto berry or Echinacea among others. The mechanism of action is unknown, but clients do experience relief. Laser surgery, dutasteride (Avodart), and balloon uretoplasty are conventional methods of treating BPH.