A registered nurse in the United States must help allocate one available intensive care bed between two patients with similar clinical urgency. Which action is most appropriate?
Correct answer: C. Use the facility's established allocation criteria
- A. Give the bed to the patient admitted first
- B. Give the bed to the patient with the most family support
- C. Use the facility's established allocation criteria
- D. Give the bed to the patient who requests it first
Explanation
The ethical principle of justice requires fair and consistent allocation of limited resources. The nurse should follow established clinical criteria rather than personal preference or social factors.
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About US Legal and Ethical Nursing Practice
US nursing law and ethics include state nurse practice acts, scope of practice, standards of care, negligence, malpractice, documentation, confidentiality under HIPAA and informed consent. Ethical reasoning applies autonomy, beneficence, nonmaleficence, justice and fidelity to conflicts such as refusal of treatment, advance directives, privacy breaches and mandatory reporting, which are not the same as legal liability.
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