A nurse on a medical-surgical unit is caring for four clients. Which of the following actions by the nurse demonstrates fidelity?

Administering a pain medication to a client before ambulation

Stopping feeding for a client who becomes short of breath

Telling a client she will return with a medication and she does

Dividing time and care evenly between clients

Answer and Explanation

The Correct Answer is C

A. Administering pain medication before ambulation is an example of patient-centered care and pain management but does not specifically demonstrate fidelity, which relates to keeping promises and being trustworthy.
B. Stopping feeding when a client becomes short of breath is an appropriate response to prevent aspiration, but it is not an example of fidelity.
C. Telling a client she will return with a medication and following through with that commitment demonstrates fidelity by fulfilling a promise and showing reliability.
D. Dividing time and care between clients is part of effective time management, but it does not specifically represent fidelity, which emphasizes keeping promises to clients.

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Correct Answer is A

Explanation

A. Obtaining the client's capillary blood glucose level is the first action because it determines the appropriate timing and dosage of insulin administration, ensuring safe and effective diabetes management.
B. Administering prescribed insulin should occur after assessing the client's blood glucose level to avoid the risk of hypoglycemia or hyperglycemia.
C. Providing the client's breakfast is important but should only occur after assessing blood glucose and administering insulin as needed to maintain stable glucose levels.
D. Checking the calibration of the glucometer is essential for accurate readings but does not directly address the immediate need to assess the client's glucose level.

A. Encourages the expression of feelings about illness B. Reinforces teaching about prescribed medications C. Collaborates with other team members D. Supports the client's needs

Correct Answer is D

Explanation

A. Encouraging the expression of feelings about illness can be a part of patient-centered care, but it does not fully encompass the role of advocacy, which involves more comprehensive support for the client's needs.
B. Reinforcing teaching about prescribed medications is important but falls under education and patient care rather than advocacy itself.
C. Collaboration with other team members is essential in providing holistic care but does not solely represent advocacy, which focuses more on the client's interests.
D. Supporting the client's needs is the core of advocacy, as it involves standing up for the client's rights, preferences, and well-being within the healthcare system.

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A nurse on a medical-surgical unit is caring for four clients. Which of the following actions by the nurse demonstrates fidelity?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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