A nurse is assisting with the admission of a client. Which of the following statements should the nurse make to demonstrate the principle of advocacy?
"I will keep your personal information private."
"I will do my best to fulfill my promises to you."
"I will speak with your provider on your behalf."
"I will let you make decisions about your health care."
The Correct Answer is D
Choice A reason: "I will keep your personal information private." is not a statement of advocacy, but a statement of confidentiality. Confidentiality is the ethical and legal obligation of the nurse to protect the client's privacy and information. Advocacy is the act of supporting and protecting the client's rights and interests.
Choice B reason: "I will do my best to fulfill my promises to you." is not a statement of advocacy, but a statement of accountability. Accountability is the responsibility of the nurse to answer for their actions and outcomes. Advocacy is the act of supporting and protecting the client's rights and interests.
Choice C reason: "I will speak with your provider on your behalf." is not a statement of advocacy, but a statement of communication. Communication is the exchange of information and ideas between the nurse and the client, the provider, and other members of the health care team. Advocacy is the act of supporting and protecting the client's rights and interests.
Choice D reason: "I will let you make decisions about your health care." is a statement of advocacy. Advocacy is the act of supporting and protecting the client's rights and interests, such as the right to informed consent, self-determination, and autonomy. The nurse should respect the client's choices and preferences, and assist them in making informed decisions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This is not the correct answer because it distracts the client from the surroundings and could cause loss of balance or coordination.
Choice B reason: This is the correct answer because it enables the client to use the handrails as a support and reduces the stress on the arms and shoulders.
Choice C reason: This is not the correct answer because it creates an uneven distribution of weight and could cause instability or pain.
Choice D reason: This is not the correct answer because it requires the client to shift the body weight abruptly and could cause muscle strain or joint damage.
Correct Answer is A
Explanation
Choice A reason: Calf swelling is a sign of deep vein thrombosis, which is a blood clot that forms in a deep vein, usually in the lower leg or thigh. The clot can block the blood flow and cause inflammation, pain, and edema. The nurse should measure the circumference of both calves and compare them for any difference. The nurse should also report any other signs of deep vein thrombosis, such as warmth, redness, or tenderness.
Choice B reason: Clammy skin is not a sign of deep vein thrombosis, but of shock. Shock is a life-threatening condition that occurs when the body's organs do not receive enough blood and oxygen. The nurse should monitor the client's vital signs, such as blood pressure, pulse, and temperature, and report any abnormal findings.
Choice C reason: Tortuous veins are not a sign of deep vein thrombosis, but of varicose veins. Varicose veins are enlarged and twisted veins that appear near the surface of the skin, usually in the legs. They are caused by weak or damaged valves that allow blood to pool and stretch the veins. The nurse should assess the client's skin for any ulcers, bleeding, or infection.
Choice D reason: Bradycardia is not a sign of deep vein thrombosis, but of a slow heart rate. Bradycardia is a condition that occurs when the heart beats less than 60 times per minute. It can be caused by various factors, such as medication, heart disease, or hypothyroidism. The nurse should check the client's pulse and rhythm, and report any irregularities.
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