Module 5 HESI Management of Care/Answered/A+ Rated

Module 5 HESI Management of Care/Answered/A+ Rated ** A client with leukemia is being considered for a bone marrow transplant. The healthcare team is discussing the risks and benefits of this treatment and other possible treatments with the goal of inflicting the least possible harm on the client. Which principle of healthcare ethics is the team practicing? Nonmaleficence Autonomy Justice Fidelity Nonmaleficence Which action by the nurse represents the ethical principle of beneficence? The nurse upholds a client's decision to refuse chemotherapy for lung cancer. The nurse follows a plan of care designed to relieve pain in a client with cancer. The nurse administers an immunization to a child even though it may cause discomfort. The nurse provides equal amounts of care to all assigned clients on the basis of illness acuity. The nurse administers an immunization to a child even though it may cause discomfort. The nursing instructor asks a student to name an example of false imprisonment. Which of the following situations reflects a violation of this client right? Observing the provision of care to the client without the client's permission Telling the client that he or she may not leave the hospital Performing a procedure without consent Threatening to give a client a medication against his or her will Telling the client that he or she may not leave the hospital A nurse and a nursing assistant enter a client's room to provide care and find the client lying on the floor. The nurse should first: Ask the nursing assistant to assist in getting the client back to bed Ask the nursing assistant to complete an incident report Contact the unit secretary on the intercom and ask that the client's primary health care provider be called Check the client's level of consciousness and vital signs Check the client's level of consciousness and vital signs Which of the following actions exemplifies the use of evidence-based practice in the delivery of client care? Donning sterile gloves to change an abdominal wound dressing Advising a client to agree to the treatment recommended by her primary health care provider Taking a rectal temperature from a client for whom bleeding precautions have been instituted Encouraging a client to take an herbal substance to treat his insomnia Donning sterile gloves to change an abdominal wound dressing The registered nurse has accepted a new position as case manager in a hospital. Which of the following responsibilities are part of the nurse's new role? Select all that apply. Assessing the client's needs for home supplies and equipment Prescribing treatments specific to the client's needs Evaluating and updating the plan of care as needed Coordinating consultations and referrals to facilitate discharge Establishing a safe and cost-effective plan of care with the client Evaluating and updating the plan of care as needed Assessing the client's needs for home supplies and equipment Coordinating consultations and referrals to facilitate discharge Establishing a safe and cost-effective plan of care with the client The nurse manager of a quality improvement program asks a nurse in the neurological unit to conduct a retrospective audit. Which of the following actions should the auditing nurse plan to perform in this type of audit? Obtaining the assigned medical record from the hospital's medical record room to review documentation made during a client's hospital stay Checking the crash cart to ensure that all needed supplies are readily available should an emergency arise Checking the documentation written by a new nursing graduate on her assigned clients at the end of the shift Reviewing neurological assessment checklists for all clients on the unit to ensure that these assessments are being conducted as prescribed Obtaining the assigned medical record from the hospital's medical record room to review documentation made during a client's hospital stay A nurse preparing a client for a bronchoscopy notes that the client is wearing a gold necklace. What should the nurse do to safeguard the client's necklace? Ask the client whether the necklace is gold Ask the client to remove the necklace and place it in the top drawer of the bedside table Ask the client for permission to lock the necklace in the hospital safe Ask the client to sign a release to free the hospital of responsibility if the necklace is damaged or lost during the procedure Ask the client for permission to lock the necklace in the hospital safe A nurse providing preoperative care to a client who is scheduled for a left mastectomy and axillary lymph node dissection notes that the client is wearing a wedding band on her left ring finger. The nurse should: Tape the wedding band in place Explain to the client why the wedding band must be removed Ask the client to sign a release to free the hospital of responsibility if the wedding band is lost during surgery Ask the client whether she would like to remove the wedding band or wear it to surgery Explain to the client why the wedding band must be removed ** A nurse preparing a client to go to the radiology department for a chest x-ray notes that the client is wearing a religious medal on a chain around the neck. The client, a Catholic, expresses a concern about removing the medal. What is the most appropriate action for the nurse to take? Asking the client to remove the medal until the x-ray has been completed Asking the client to place the medal in the top drawer of the bedside stand just before leaving for the radiology department Assisting the client in pinning the medal and chain to the waistband of the client's pajama bottoms Telling the client that the medal and chain will be kept at the nurses' station for safekeeping while the client is undergoing the x-ray Assisting the client in pinning the medal and chain to the waistband of the client's pajama bottoms ** A physician writes a medication prescription in a client's record. While transcribing the prescription, the nurse notes that the prescribed dose is three times higher than the recommended dose. The nurse calls the physician, who states that this is the dose that the client takes at home and that it is acceptable for this client's condition. What is the appropriate action for the nurse to take?