A nurse is providing teaching with a client who has severe arthritis and has difficulty with stairs. What should the nurse include in the teaching?

"Keep your eyes on your feet when ascending or descending the stairs."

"Maintain your arms in a slightly bent position when using the handrails."

"Move your right leg forward as you lower yourself to the next step."

"Support yourself with the handrail when transferring to or from the stairs."

Answer and Explanation

The Correct Answer is B

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.

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Correct Answer is A

Explanation

Choice A reason: This is correct because measuring the intake and output of a client is a routine task that can be delegated to an AP.

Choice B reason: This is incorrect because reinforcing teaching with a client requires the nurse's knowledge and judgment and cannot be delegated to an AP.

Choice C reason: This is incorrect because assessing the pain level of a client is a nursing responsibility that involves critical thinking and evaluation and cannot be delegated to an AP.

Choice D reason: This is incorrect because checking a client's peripheral IV site for redness or swelling is a nursing skill that requires the nurse's assessment and intervention and cannot be delegated to an AP.

A. Fidelity B. Beneficence C. Autonomy D. Veracity

Correct Answer is B

Explanation

Choice A reason: Fidelity is not the ethical principle that the nurse is implementing. Fidelity is the duty to keep one's promises and commitments to the client. The nurse is not demonstrating fidelity by giving pain medication, unless the nurse has promised to do so.

Choice B reason: Beneficence is the ethical principle that the nurse is implementing. Beneficence is the duty to do good and prevent harm to the client. The nurse is demonstrating beneficence by giving pain medication to relieve the client's suffering and promote comfort.

Choice C reason: Autonomy is not the ethical principle that the nurse is implementing. Autonomy is the right of the client to make their own decisions and choices about their health care. The nurse is not demonstrating autonomy by giving pain medication, unless the client has consented to it.

Choice D reason: Veracity is not the ethical principle that the nurse is implementing. Veracity is the duty to tell the truth and be honest with the client. The nurse is not demonstrating veracity by giving pain medication, unless the nurse has explained the purpose, benefits, and risks of the medication.

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A nurse is providing teaching with a client who has severe arthritis and has difficulty with stairs. What should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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