Which of the following is an example of a nurse's use of the ...

[mynx]

Which of the following is an example of a nurse's use of the ethical principle of autonomy in a situation with a client?
 
  a. Learning how to do a procedure safely and effectively
  b. Returning to speak to the client at a mutually agreed time
  c. Preparing the client's room for comfort and privacy
  d. Supporting the client's decision to refuse therapy

Question 2

When turning a client, the nurse notices a reddened area on the coccyx. Which of the following skin care interventions should the nurse use on this area?
 
  a. Clean the area, dry it, and add a protective moisturizer.
  b. Apply a diluted hydrogen peroxide and water mixture, and use a heat lamp on the area.
  c. Soak the area in normal saline solution.
  d. Wash the area with an astringent and paint it with povidone-iodine (Betadine).

[duke02]

Answer to Question 1

D
Following the ethical principle of autonomy, the nurse allows the client to make decisions re-garding care and then supports that decision.
Learning how to do a procedure safely and effectively demonstrates the nurse's application of the ethical principle of responsibility.
Returning to speak to the client at a mutually agreed time demonstrates the ethical principle of fidelity.
Preparing the client's room for comfort and privacy demonstrates the nurse's application of the ethical principle of responsibility.

Answer to Question 2

A
The skin should be cleansed with a nonionic surfactant solution and completely dried, and a pro-tective moisturizer applied to keep the epidermis well lubricated.
Hydrogen peroxide is cytotoxic and should not be used. A heat lamp is not necessary and would increase the client's risk of an accidental burn.
The area should not be soaked, as this may lead to maceration of the skin.
The area should not be cleansed with an astringent and painted with povidone-iodine. An astrin-gent may cause excessive drying of the tissue, and povidone-iodine is cytotoxic.

[mynx]

TYSM

[dantucker]

Excellent