A nurse is caring for a group of clients. Which of the following clients should the nurse attend to first?

An older adult client who is anxious and attempting to pull out an IV line

A middle adult client who is reporting nausea after receiving pain medication

An older adult client who has kidney failure and returned from dialysis 4 hr ago

A middle adult client who has a terminal illness and is requesting a visit from the chaplain

Answer and Explanation

The Correct Answer is A

- A. This client is at risk of harming themselves by removing the IV line, which could cause bleeding, infection, or loss of medication. This is a priority issue that requires immediate intervention by the nurse.

- B. This client is experiencing a common side effect of pain medication, which can be managed by administering antiemetics, fluids, or changing the medication. This is not a life-threatening issue and can be addressed after attending to the client in choice A.

- C. This client has a chronic condition that requires regular dialysis, but they are not in acute distress at this time. They should be monitored for signs of fluid overload, electrolyte imbalance, or infection, but they are not a priority over the client in choice A.

- D. This client has a psychosocial need that should be respected and supported by the nurse, but it is not an urgent issue that requires immediate attention. The nurse can arrange for a visit from the chaplain after attending to the client in choice A.

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Correct Answer is D

Explanation

Ask the partner to list specific concerns.

A. Evaluate the changes the partner requests: This is incorrect because it is not the first action to take. The charge nurse should first listen to and acknowledge the partner's complaints before evaluating any changes or solutions.
B. Review the client's plan of care: This is incorrect because it is not the first action to take. The charge nurse should first understand what aspects of care are unsatisfactory for the partner and why they feel that way.
C. Analyze other reports of poor care to look for trends: This is incorrect because it is not relevant to this situation. The charge nurse should focus on addressing this specific case of dissatisfaction rather than looking for general patterns or issues.
D. Ask the partner to list specific concerns: This is correct because it shows respect and empathy for the partner and allows for clarification and communication of their expectations and needs. It also helps identify any gaps or misunderstandings in the client's care and facilitates problem-solving and resolution.

A. Advocacy is a leadership role that helps others to self-actualize B. Subordinates are advocates for the nurse manager C. Advocacy encourages clients to rely on health care staff for decision-making D. Nurse managers should distrust people who expose inappropriate professional practices

Correct Answer is A

Explanation

Advocacy is a leadership role that helps others to self-actualize.

A. Advocacy is a leadership role that helps others to self-actualize. This statement is true and reflects one of the core principles of advocacy, which is to empower others to achieve their full potential and exercise their rights and responsibilities. This choice is correct.
B. Subordinates are advocates for the nurse manager. This statement is false and contradicts one of the core principles of advocacy, which is to act in the best interest of those who are vulnerable or oppressed, not those who are in positions of power or authority. This choice is incorrect.
C. Advocacy encourages clients to rely on health care staff for decision-making. This statement is false and contradicts one of the core principles of advocacy, which is to respect and support clients' autonomy and self-determination, not to impose or influence their choices or actions. This choice is incorrect.
D. Nurse managers should distrust people who expose inappropriate professional practices. This statement is false and contradicts one of the core principles of advocacy, which is to promote and uphold ethical standards and quality of care, not to conceal or ignore malpractice or misconduct. This choice is incorrect.

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A nurse is caring for a group of clients. Which of the following clients should the nurse attend to first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is speaking with the partner of a client. The partner states that the client is not receiving adequate care. Which of the following actions should the charge nurse take first to resolve the situation?

Correct Answer is D

Explanation

A nurse manager is preparing an educational session about advocacy to a group of nurses. The nurse manager should include which of the following information in the teaching?

Correct Answer is A

Explanation

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