Need detail explanation Scenario: A 56-year-old client was diagnosed with aggressive bone cancer that required a below t
Posted: Wed May 18, 2022 7:28 pm
Need detail explanation
Scenario:
A 56-year-old client was diagnosed with aggressive bone cancer
that required a below the knee amputation of the left leg 14 months
ago. The client received recommended chemotherapy and radiation,
but it was found recently that the cancer has metastasized to the
chest and skull. There is lymph node involvement with a primary
tumor partially obstructing the right kidney. The client was
readmitted 4 days ago for removal of the remaining portion of the
left leg and was told that there is no appropriate surgical or
medical intervention that would be beneficial at this point in the
disease process. The interdisciplinary health care team has
recommended palliative care upon discharge since the client’s life
expectancy is between 3 and 5 months. The client has developed a
mutually respectful relationship with a nurse on the unit who has
provided care throughout all previous hospitalizations. The client
shares with the licensed practical nurse (LPN) that, “I have pills
saved up and I’m going to commit suicide as soon as I get
discharged. It’s my decision to make and I’ m trusting you not to
tell anyone.”
What ethical principles are in conflict creating an ethical
dilemma for this nurse? (Select all that apply.) Include
your rationales for choosing the answers.
1. Autonomy
2. Veracity
3. Paternalism
4. Confidentiality
5. Fidelity
6. non-maleficence
7. Beneficence
8. Justice
Informed Consent
Scenario:
An 82-year-old resident of a skilled nursing facility has been
transferred to the local hospital for an invasive cardiac procedure
scheduled for the am. The client is alert but has demonstrated
minor memory issues generally related to the day and time. The
client has expressed a desire, “to get whatever this is over with.”
The client was accompanied to the hospital by family members and
several plans to be here during the procedure. The client has
shared that, “My kids really are pushing for me to have this done.”
Besides the diagnosis of aortic stenosis, the client is
hypertensive and is being treated for gastroesophageal reflux
disease (GERD) and depression.
Concerning the legitimacy of the client’s informed consent, the
licensed practical nurse (LPN) would recognize which issue as a
priority “red flag” to be reported to the registered nurse (RN)?
(Select all that apply.) Include your rationales for
choosing the answers.
1. The client’s advanced age
2. Lack of understanding of the purpose of the procedure
3.Currently being treated for depression
4. Memory deficits
5. Diagnosis of hypertension
6. Cardiac diagnosis
7. Perception of family’s feeling regarding the procedure
Scenario:
A 56-year-old client was diagnosed with aggressive bone cancer
that required a below the knee amputation of the left leg 14 months
ago. The client received recommended chemotherapy and radiation,
but it was found recently that the cancer has metastasized to the
chest and skull. There is lymph node involvement with a primary
tumor partially obstructing the right kidney. The client was
readmitted 4 days ago for removal of the remaining portion of the
left leg and was told that there is no appropriate surgical or
medical intervention that would be beneficial at this point in the
disease process. The interdisciplinary health care team has
recommended palliative care upon discharge since the client’s life
expectancy is between 3 and 5 months. The client has developed a
mutually respectful relationship with a nurse on the unit who has
provided care throughout all previous hospitalizations. The client
shares with the licensed practical nurse (LPN) that, “I have pills
saved up and I’m going to commit suicide as soon as I get
discharged. It’s my decision to make and I’ m trusting you not to
tell anyone.”
What ethical principles are in conflict creating an ethical
dilemma for this nurse? (Select all that apply.) Include
your rationales for choosing the answers.
1. Autonomy
2. Veracity
3. Paternalism
4. Confidentiality
5. Fidelity
6. non-maleficence
7. Beneficence
8. Justice
Informed Consent
Scenario:
An 82-year-old resident of a skilled nursing facility has been
transferred to the local hospital for an invasive cardiac procedure
scheduled for the am. The client is alert but has demonstrated
minor memory issues generally related to the day and time. The
client has expressed a desire, “to get whatever this is over with.”
The client was accompanied to the hospital by family members and
several plans to be here during the procedure. The client has
shared that, “My kids really are pushing for me to have this done.”
Besides the diagnosis of aortic stenosis, the client is
hypertensive and is being treated for gastroesophageal reflux
disease (GERD) and depression.
Concerning the legitimacy of the client’s informed consent, the
licensed practical nurse (LPN) would recognize which issue as a
priority “red flag” to be reported to the registered nurse (RN)?
(Select all that apply.) Include your rationales for
choosing the answers.
1. The client’s advanced age
2. Lack of understanding of the purpose of the procedure
3.Currently being treated for depression
4. Memory deficits
5. Diagnosis of hypertension
6. Cardiac diagnosis
7. Perception of family’s feeling regarding the procedure