A charge nurse provides an annual in-service for the nursing staff regarding ethical practice. Which of the following actions should the nurse include as an example of ethical practice?<\/p>\n\n\n\n
A.
A nurse raises all four side rails on the bed of a client who is confused.<\/p>\n\n\n\n
B.
A nurse elects not to care for a client who had an abortion.<\/p>\n\n\n\n
C.
A nurse withholds nutrition from a client who has a do-not-resuscitate (DNR) order.<\/p>\n\n\n\n
D.
A nurse administers prescribed opioids to a client who has a terminal illness and respiratory rate of 8\/min.<\/p>\n\n\n\n
The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n The correct answer is D. A nurse administers prescribed opioids to a client who has a terminal illness and a respiratory rate of 8\/min.<\/strong><\/p>\n\n\n\n Ethical practice in nursing involves respecting patient autonomy, providing appropriate care, and acting in the patient’s best interest while adhering to professional standards. In this scenario, the nurse’s actions should be evaluated based on these principles:<\/p>\n\n\n\n A. Raising all four side rails on the bed of a client who is confused:<\/strong> B. Electing not to care for a client who had an abortion:<\/strong> C. Withholding nutrition from a client who has a do-not-resuscitate (DNR) order:<\/strong> D. Administering prescribed opioids to a client who has a terminal illness and a respiratory rate of 8\/min:<\/strong> Thus, option D<\/strong> is the best example of ethical practice in nursing, as it aligns with the principles of providing compassionate care while adhering to prescribed treatment plans.<\/p>\n","protected":false},"excerpt":{"rendered":" A charge nurse provides an annual in-service for the nursing staff regarding ethical practice. Which of the following actions should the nurse include as an example of ethical practice? A.A nurse raises all four side rails on the bed of a client who is confused. B.A nurse elects not to care for a client who […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-138826","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/138826","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=138826"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/138826\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=138826"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=138826"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=138826"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}Explanation:<\/h3>\n\n\n\n
While the intention behind raising side rails might be to prevent falls, this action can be considered unethical if it restricts the client’s freedom of movement and increases the risk of injury. It could also be seen as a form of restraint without proper justification. The ethical principle of autonomy requires that patients have the right to make their own decisions, and any intervention that limits this right needs to be carefully considered and justified.<\/p>\n\n\n\n
Refusing to care for a client based on their medical history or personal choices is discriminatory and unethical. Ethical practice requires nurses to provide care to all patients without bias or judgment. Personal beliefs should not interfere with the delivery of professional and compassionate care.<\/p>\n\n\n\n
A DNR order specifically pertains to the withholding of resuscitation efforts in the event of cardiac or respiratory arrest. It does not encompass withholding other forms of care, such as nutrition. Withholding nutrition can be considered a form of neglect or abandonment unless it aligns with the patient’s wishes and overall treatment goals. The ethical principle of beneficence (acting in the patient\u2019s best interest) requires that all aspects of care, including nutrition, be managed according to the patient\u2019s needs and preferences.<\/p>\n\n\n\n
Administering prescribed opioids, even to a client with a low respiratory rate, is ethically justified if the goal is to manage pain and improve quality of life. In palliative care, the focus is on providing comfort and alleviating suffering. The principle of beneficence supports the administration of pain relief in terminally ill patients, and the ethical principle of non-maleficence (do no harm) requires careful monitoring to balance pain relief with potential side effects. However, if opioids are prescribed by a healthcare provider, it implies that the benefits outweigh the risks, and the nurse\u2019s role is to administer the medication as ordered while monitoring the patient\u2019s condition.<\/p>\n\n\n\n