A nurse is teaching the staff about how to process an ethical ...

[theo]

A nurse is teaching the staff about how to process an ethical dilemma. Which order should the nurse use to present the steps?
 
  a. Evaluate the action.
  b. Negotiate the outcome.
  c. State the problem clearly.
  d. Gather all relevant information.
  e. Examine own values and opinions.
  f. Consider possible courses of action.
  a. d, e, c, f, a, b
  b. d, e, c, f, b, a
  c. d, c, e, f, a, b
  d. d, e, c, b, f, a

Question 2

The nurse is caring for a patient from a long-term care facility who has a Foley catheter. The urine in the bag is dark yellow and has a cloudy appearance and a strong odor.
 
  According to the transfer sheet, the Foley was placed 5 weeks before the hospital admission. What should the nurse do? a. Contact the health care provider for an order to change the catheter and provide an update on the appearance of the urine.
  b. Request an order for a urine for culture and sensitivity but do not change the catheter; the catheter can remain in place for another week per protocol.
  c. Contact the health care provider for an order to remove the catheter.
  d. Do nothing; the catheter can remain in place for another week per protocol.

[aburgess]

Answer to Question 1

B
The steps to process an ethical dilemma include the following: (1) Is this an ethical dilemma? (2) Gather all information relevant to the case. (3) Examine and determine your own values and opinions about the issues. (4) State the problem clearly. (5) Consider possible courses of action. (6) Negotiate the outcome. (7) Evaluate the action.

Answer to Question 2

A
For patients requiring long-term catheterization, catheter changes should be individualized, not routine. In many cases, catheters need to be changed every 4 to 6 weeks. Long-term catheters should be changed for leaking, blockage, and before obtaining a sterile specimen for urine culture. Long-term catheterization should be avoided because of its association with urinary tract infection. Make every attempt to remove catheters as soon as the patient can void.

[theo]

Thanks

[aburgess]

Welcome