Adult Nursing (NUR 105) Med Surg test questions Chapter 03: Critical Thinking, Ethical Decision Making and the Nursing Process 1. A nurse has been offered a position on an obstetric unit and has le... arned that the unit offers therapeutic abortions, a procedure which contradicts the nurse’s personal beliefs. What is the nurses’ ethical obligation to these patients? a. The nurse should adhere to professional standards of practice and offer service to these patients. b. The nurse should make the choice to decline this position and pursue a different nursing role. c. The nurse should decline to care for the patients considering abortion. d. The nurse should express alternatives to women considering terminating their pregnancy. Ans: B Feedback: To avoid facing ethical dilemmas, nurses can follow certain strategies. For example, when applying for a job, a nurse should ask questions regarding the patient population. If a nurse is uncomfortable with a particular situation, then not accepting the position would be the best option. The nurse is only required by law (and practice standards) to provide care to the patients the clinic accepts; the nurse may not discriminate between patients and the nurse expressing his or her own opinion and providing another option is inappropriate. 2. A terminally ill patient you are caring for is complaining of pain. The physician has ordered a large dose of intravenous opioids by continuous infusion. You know that one of the adverse effects of this medicine is respiratory depression. When you assess your patients respiratory status, you find that the rate has decreased from 16 breaths per minute to 10 breaths per minute. What action should you take? a. Decrease the rate of IV infusion. b. Stimulate the patient in order to increase respiratory rate. c. Report the decreased respiratory rate to the physician. d. Allow the patient to rest comfortably. Ans: C Feedback: End-of life issues that often involve ethical dilemmas include pain control, do not resuscitate orders, life-support measures, and administration of food and fluids. The risk of respiratory depression is not the intent of the action of pain control. Respiratory depression should not be used as an excuse to withhold pain medication for a terminally ill patient. The patients respiratory status should be carefully monitored and any changes should be reported to the physician.3. An adult patient has requested a do not resuscitate (DNR) order in light of his recent diagnosis with late stage pancreatic cancer. The patients son and daughter-in-law are strongly opposed to the patients request. What is the primary responsibility of the nurse in this situation? [Show More]
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