Before making any ethical decision, one should take which of the following actions?
1. Identify the individuals involved.
2. Identify what ethical principle(s) apply.
3. Identify who should make the decision.
4. Consider the alternatives.
a. 2, 3, and 4 only
b. 1, 2, 3, and 4
c. 3 and 4 only
d. 3 only
ANS: B
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Your patient is a 42-year-old male with a history of alcohol abuse who is in severe distress with dysphagia and hematemesis. You note that he is becoming lethargic and is having trouble keeping his head up. His skin is cool and clammy. HR = 138, BP = 82/56, RR = 8, SaO2 = 90%. Proper treatment of this patient would include all of the following EXCEPT:
A) IV of NS with fluid challenge. B) aggressive suctioning of the airway and intubation. C) dopamine infusion. D) placing the patient in shock position.
Your patient is standing outside where the ambient temperature is 100 degrees F. Due to the thermal gradient, you would expect:
A) heat transfer from the patient to the environment. B) heat transfer from the environment to the patient. C) heat exchange from the patient by conduction. D) heat loss to occur quickly.