A nurse manager on an acute care unit is conducting a clinical documentation audit to evaluate the staff's application of foundational ethical principles. Match each documented nursing action to the ethical principle it most directly demonstrates.
- The nurse stops an intravenous medication infusion immediately upon observing the client developing sudden airway stridor and hives.Nonmaleficence
- The nurse returns to the client's room with the requested PRN antiemetic medication in exactly fifteen minutes, precisely as previously stated to the client.Fidelity
- The nurse advocates for a mentally competent adult client who has decided to decline a medically recommended surgical intervention.Autonomy
- The nurse allocates identical monitoring time and clinical resources to two clients of varying socioeconomic statuses who have the exact same medical acuity.Justice
Cevap
Stopping the harmful infusion pairs with Nonmaleficence. Returning exactly when promised pairs with Fidelity. Supporting the refusal of surgery pairs with Autonomy. Allocating equitable resources pairs with Justice.
Each specific nursing intervention fundamentally represents one ethical cornerstone. Nonmaleficence is the strict duty to do no harm, seen when the nurse stops the dangerous infusion. Fidelity is the duty to keep promises, demonstrated by the nurse returning exactly on time. Autonomy is the respect for a client's self-determination, demonstrated by honoring the surgical refusal. Justice is the fair distribution of care, demonstrated by treating clients of different socioeconomic statuses equitably.
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Foundational Ethical Principles in Nursing Practice