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NUR 303 Module 2 Assignment 2: Legal and Ethical Issues in Healthcare

NUR 303 Module 2 Assignment 2: Legal and Ethical Issues in Healthcare

NUR 303 Module 2 Assignment 2: Legal and Ethical Issues in Healthcare

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Ethical and Legal Issues in Nursing

Two issues that Nurse’s face in Healthcare are Malpractice and End-of-Life considerations. Malpractice is professional negligence by the facility or staff whose actions have caused emotional, physical and financial damage to a client under care. In order for negligence to be considered, four elements must be fulfilled, and they are a duty, breach of duty, damages, and causation (Morales, 2012). End-of-Life considerations are prominent in the field of nursing as everyone eventually passes away. It becomes burdensome when the terminal client, has no advanced directive and the loved ones that are to make decisions are in disagreement with each other. The Nurse Practice Acts and Code of Ethics for Nurse’s can help with dealing with ethical and legal issues in Nursing.

An example of a malpractice case is a nurse as a witness in a malpractice suit that involved harm to a client. The case is against the healthcare institution, and a nurse whom she knew was overtly negligent. On previous occasions, it is noticed this nurse violating standards of care. At the time, she kept personal notes because she was fearful of a possible lawsuit in the future. The nurse was asked if she had ever witnessed other incidents of negligence performed by this nurse, and, if so, what she did. According to Blais & Hayes, (2011), when brought into court as a witness, the nurse has the duty to assist justice as far as possible. The nurse should always respond directly and truthfully to the questions asked. It is the nurse’s professional responsibility to provide accurate testimony, during both the pretrial discovery phase and the trial phase of a legal action (Blais & Hayes, 2011).

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NUR 303 – Noninfectious Lower Respiratory Problems Flashcards

Terms in this set (48)

A client with asthma reports “not being able to take deep breaths.” The nurse auscultates decreased breath sounds in the bases, and no wheezes. What is the nurse’s best action?
a. Encourage the client to stay calm and take deep breaths.
b. Document the findings and continue to monitor.
c. Have the client cough forcefully.
d. Assess the client’s oxygen saturation.

D. assess the client’s oxygen saturation

A client with asthma has been having frequent asthma attacks. What is the nurse’s best action?
a. Teach the client to stay away from pets.
b. Assist the client in using an incentive spirometer.
c. Administer aspirin for its anti-inflammatory properties.
d. Administer montelukast (Singulair).

D. administer montelukast (Singulair)

A client diagnosed with asthma has not responded well to medication. The client is concerned and asks the nurse, “What is wrong with me, and why am I not getting better?” What is the nurse’s best response?
a. “You just weren’t used to the medication yet.”
b. “The medication dose has to be increased.”
c. “It is possible that genetic testing may help.”
d. “You should try homeopathic medicine.”

C. “It is possible that genetic testing may help.”

The nurse is caring for four clients with asthma. Which client does the nurse assess first?
a. Client with a barrel chest and clubbed fingernails
b. Client with an SaO2 level of 92% at rest
c. Client whose expiratory phase is longer than the inspiratory phase
d. Client whose heart rate is 120 beats/min

D. client whose heart rate is 120 beats/min

The nurse is caring for an older adult who reports experiencing frequent asthma attacks and severe arthritic pain. What action by the nurse is most appropriate?
a. Review pulmonary function test results.
b. Assess use of medication for arthritis.
c. Assess frequency of bronchodilator use.
d. Review arterial blood gas results.

B. assess use of medication for arthritis

The nurse is evaluating a client’s response to medication therapy for asthma. The client has a peak flowmeter reading in the yellow zone. What does the nurse do next?
a. Nothing; this is an acceptable range.
b. Teach the client to take deeper breaths.
c. Assist the client to use a rescue inhaler.
d. Assess the client’s lungs.

C. assist the client to use a rescue inhaler

Which statement indicates that the client understands teaching about the use of long-acting beta2 agonist medications?
a. “I will not have to take this medication every day.”
b. “I will take this medication when I have an asthma attack.”
c. “I will take this medication daily to prevent an acute attack.”
d. “I will eventually be able to stop using this medication.”

C. “I will take this medication daily to prevent an acute attack.”

Which statement indicates that a client understands teaching about the correct use of a corticosteroid medication?
a. “This drug can reverse my symptoms during an asthma attack.”
b. “This drug is effective in decreasing the frequency of my asthma attacks.”
c. “This drug can be used most effectively as a rescue agent.”
d. “This drug can be used safely on a long-term basis for multiple applications daily.”

B. “This drug is effective in decreasing the frequency of my asthma attacks.”

A client is using omalizumab (Xolair) for the first time. What is the priority nursing action?
a. Make sure the client takes the medication with water.
b. Administer ibuprofen (Motrin) because Xolair often causes headaches.
c. Teach the client how to use a syringe.
d. Remain with the client and assess for anaphylaxis.

D. remain with the client and assess for anaphylaxis

A client is demonstrating diaphragmatic breathing for the nurse. Which action by the client shows adequate understanding of this breathing technique?
a. Lying on his or her side with knees bent
b. Having his or her hands on the abdomen
c. Having his or her hands over the head
d. Lying in the prone position

B. having his or her hands over the head

A client is undergoing lung reduction surgery. What is the nurse’s highest priority preoperatively?
a. Administer medications.
b. Discuss the possibility of ventilator dependency.
c. Teach how to cough and deep breathe.
d. Teach about preoperative testing.

D. teach about preoperative testing

The nurse assesses a client receiving chemotherapy for lung cancer and notes red swollen mucous membranes and open sores in the mouth. The client reports mouth pain and difficulty swallowing. Which action does the nurse perform first?
a. Document the size of the sores.
b. Perform mouth hygiene.
c. Have the client rinse his or her mouth.
d. Call the health care provider and hold chemotherapy.

D. call the health care provider and hold chemotherapy

A client is undergoing radiation therapy as treatment for lung cancer and has developed esophagitis. Which is the best diet selection for this client?
a. Spaghetti with meat sauce, ice cream
b. Scrambled eggs, bacon, toast
c. Omelet, whole wheat bread
d. Pasta salad, custard, orange juice

C. omelet, whole wheat bread

A client with lung cancer refuses pain medications because he or she is “afraid of addiction.” What is the nurse’s best response?
a. “I can ask the physician to change your medication to a drug that is less potent.”
b. “I can use other measures such as music therapy to distract you.”
c. “It is unlikely you will become addicted from taking medicine for pain.”
d. “I can just give you aspirin or acetaminophen (Tylenol) if you like.”

C. “It is unlikely you will become addicted from taking medicine for pain.”

What is the best instruction for a client who has step II (mild persistent) asthma?
a. “Avoid participating in aerobic exercise.”
b. “You will need daily inhaled low-dose steroids.”
c. “You need to evaluate your diet for asthma triggers.”
d. “Make sure you use a rescue inhaler three times per day.”

B. “You will need daily inhaled low-dose steroids”