moral questions. These issues include:#### 2.1 **Patient Autonomy and Informed Consent**One
of the fundamental ethical principles in healthcare is respect for patient autonomy—the right of
patients to make decisions about their own bodies and medical treatments. This principle is
enshrined in the legal concept of informed consent. Informed consent requires healthcare providers
to disclose all relevant information about the risks, benefits, and alternatives to a medical
treatment or procedure, allowing patients to make informed decisions.However, challenges arise
when patients are not fully capable of making informed decisions (e.g., due to age, mental illness, or
language barriers). In such cases, ethical dilemmas can arise regarding whether a third party (e.g.,
a parent or guardian) should make the
Ignatavicius: Medical-Surgical Nursing, 9th Edition
Care of Patients With Stomach Disorders
1. The nurse is performing medication reconciliation for a newly admitted client. The
nurse recognizes that which drugs contribute to signs and symptoms of gastritis? (Select
all that apply.)
a. Aspirin, taken once daily to prevent cardiac concerns
b. Naproxen, taken once daily for joint pain associated with arthritis
c. Amoxicillin, taken over a 10-day period for an acute sinus infection
d. Bacitracin ointment (over the counter), applied to minor scrapes on arms and legs
e. Prednisone, tapered over a 14-day period to decrease inflammation associated with an
acute sinus infection
ANS: A, B, E
Corticosteroids, erythromycin (E-Mycin, Erythromid), ASA (aspirin), and NSAIDs such
as naproxen (Naprosyn) and ibuprofen (Motrin, Advil, Amersol, Novo-Profen)—as well
as OTC products that contain aspirin or ibuprofen—are associated with contributing to
symptoms associated with gastritis. Amoxicillin and bacitracin ointment are not.
Cognitive Level: Analysis
Client Needs Category: Physiological Integrity: Pharmacological and Parenteral
Therapies
Nursing Process Step: Assessment/Evaluation
NCLEX Examination Challenge 55-2, Safe and Effective Care Environment
1. When caring for a patient who has just had an upper GI endoscopy, the nurse assesses
that the client has developed a temperature of 101.8F (38.8C). What is the appropriate
nursing intervention?
a. Promptly assess the patient for potential perforation.
b. Ask the nursing assistant to bathe the client with tepid water.
c. Administer acetaminophen (Tylenol) to lower the temperature.
d. Delegate to an unlicensed assistive personnel (UAP) to retake the temperature.
ANS: A
of the fundamental ethical principles in healthcare is respect for patient autonomy—the right of
patients to make decisions about their own bodies and medical treatments. This principle is
enshrined in the legal concept of informed consent. Informed consent requires healthcare providers
to disclose all relevant information about the risks, benefits, and alternatives to a medical
treatment or procedure, allowing patients to make informed decisions.However, challenges arise
when patients are not fully capable of making informed decisions (e.g., due to age, mental illness, or
language barriers). In such cases, ethical dilemmas can arise regarding whether a third party (e.g.,
a parent or guardian) should make the
Ignatavicius: Medical-Surgical Nursing, 9th Edition
Care of Patients With Stomach Disorders
1. The nurse is performing medication reconciliation for a newly admitted client. The
nurse recognizes that which drugs contribute to signs and symptoms of gastritis? (Select
all that apply.)
a. Aspirin, taken once daily to prevent cardiac concerns
b. Naproxen, taken once daily for joint pain associated with arthritis
c. Amoxicillin, taken over a 10-day period for an acute sinus infection
d. Bacitracin ointment (over the counter), applied to minor scrapes on arms and legs
e. Prednisone, tapered over a 14-day period to decrease inflammation associated with an
acute sinus infection
ANS: A, B, E
Corticosteroids, erythromycin (E-Mycin, Erythromid), ASA (aspirin), and NSAIDs such
as naproxen (Naprosyn) and ibuprofen (Motrin, Advil, Amersol, Novo-Profen)—as well
as OTC products that contain aspirin or ibuprofen—are associated with contributing to
symptoms associated with gastritis. Amoxicillin and bacitracin ointment are not.
Cognitive Level: Analysis
Client Needs Category: Physiological Integrity: Pharmacological and Parenteral
Therapies
Nursing Process Step: Assessment/Evaluation
NCLEX Examination Challenge 55-2, Safe and Effective Care Environment
1. When caring for a patient who has just had an upper GI endoscopy, the nurse assesses
that the client has developed a temperature of 101.8F (38.8C). What is the appropriate
nursing intervention?
a. Promptly assess the patient for potential perforation.
b. Ask the nursing assistant to bathe the client with tepid water.
c. Administer acetaminophen (Tylenol) to lower the temperature.
d. Delegate to an unlicensed assistive personnel (UAP) to retake the temperature.
ANS: A
