A nurse is caring for a client who refuses a prescribed medical procedure. Which of the following actions should the nurse take to act as a client advocate

Evaluate the client’s concerns and communicate them to the provider.

Contact the unit’s social worker to report the client’s refusal.

Ask the client’s partner to find out why the client has refused the procedure.

Explain the necessity of the procedure to the client.

Answer and Explanation

The Correct Answer is A

The correct answer is choice A. Evaluate the client’s concerns and communicate them to the provider.

This is because the nurse’s role as a patient advocate is to speak, act or behave in a way that benefits their patient, who may not be able to support or promote their own needs or interests.

The nurse should provide patients with information regarding their diagnoses, prognoses, treatments, and alternatives, and serve as a patient’s voice when necessary.

Choice B is wrong because contacting the unit’s social worker to report the client’s refusal is not an appropriate action for the nurse to take as a patient advocate.

The nurse should respect the patient’s autonomy and right to refuse treatment, and not involve other professionals without the patient’s consent.

Choice C is wrong because asking the client’s partner to find out why the client has refused the procedure is not an appropriate action for the nurse to take as a patient advocate.

The nurse should communicate directly with the patient and not rely on third parties to obtain information or influence the patient’s decision.

Choice D is wrong because explaining the necessity of the procedure to the client is not an appropriate action for the nurse to take as a patient advocate.

The nurse should not impose their own values or opinions on the patient, but rather provide unbiased and factual information and support the patient’s informed choice.

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Correct Answer is A

Explanation

This gait pattern is used when one of the lower extremities is unable to fully bear weight due to fracture, amputation, joint replacement etc12 The client should advance both crutches and the affected leg as one unit, and then bring the unaffected leg forward to the crutches as the second unit

Choice B is wrong because keeping the crutches at the level of the axillae can cause nerve damage and reduce circulation.

The crutches should be positioned with 2 fingers of distance between the axilla and the axilla pad with the elbow flexed between 20-30 degrees

Choice C is wrong because standing with the crutch tips against the feet can cause instability and increase the risk of falling.

The crutch tips should be placed about 15 cm (6 inches) in front of and 15 cm to the side of each foot

Choice D is wrong because holding the arms straight when walking can cause fatigue and strain on the shoulders and wrists.

The client should keep a slight bend in the elbows when walking with crutches

A. A client is unable to afford the physical therapy that the provider recommends. B. A client reports being dissatisfied with the temperature of the meals provided. C. A client’s visitor becomes dizzy and faints in the client’s room. D. A client receives burns from a heating pad. E. A client becomes disoriented and falls out of bed.

Correct Answer is ["C","D","E"]

Explanation

The correct answer is choice C, D, and E.

Choice A rationale:A client being unable to afford physical therapy is a financial issue, not an incident that affects patient safety or care quality. This situation should be addressed through social services or financial counseling, not an incident report.

Choice B rationale:A client being dissatisfied with meal temperature is a service quality issue, not a safety incident. This should be reported to the dietary department or patient services for resolution, not through an incident report.

Choice C rationale:A client’s visitor becoming dizzy and fainting in the client’s room is an incident that affects the safety of the visitor. An incident report should be completed to document the event, the visitor’s condition, and any actions taken to provide care or prevent future occurrences.

Choice D rationale:A client receiving burns from a heating pad is a safety incident that directly affects the client’s well-being. An incident report should be completed to document the injury, the circumstances leading to the burn, and any immediate care provided.

Choice E rationale:A client becoming disoriented and falling out of bed is a significant safety incident. An incident report should be completed to document the fall, the client’s condition, and any interventions implemented to prevent future falls.

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A nurse is caring for a client who refuses a prescribed medical procedure. Which of the following actions should the nurse take to act as a client advocate

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has crutches regarding the use of the three-point gait. Which of the following instructions should the nurse include?

Correct Answer is A

Explanation

A nurse is caring for a group of clients. For which of the following situations should the nurse complete an incident report? (Select all that apply.).

Correct Answer is ["C","D","E"]

Explanation

A nurse is caring for a client who speaks a different language than the nurse and is 6 hr postoperative. Which of the following actions should the nurse take to determine the client’s level of pain?

While performing hygiene care for a client, a nurse notices a frayed electrical cord on the client’s electronic blood pressure monitor. Which of the following actions should the nurse take first?

A nurse is showing a newly licensed nurse how to use a mechanical lift. Which of the following statements by the newly licensed nurse indicates an understanding of this assistive device?

A nurse is caring for a client who has hearing loss. Which of the following actions should the nurse take to promote communication?

A nurse observes assistive personnel (AP) perform mouth care for a client who is unconscious. Which of the following actions by the AP requires intervention by the nurse?

A nurse is inserting an indwelling urinary catheter for a female client. In which order should the nurse perform the following steps? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.).

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