After bilateral knee replacement surgery, an elderly client wants to go to a rehabilitation facility for additional physical therapy. That facility refuses to admit this client for insurance reasons. The nurse then calls the insurance company and strongly explains why this client needs to go to a rehabilitation facility. This is an example of:

responsibility.

confidentiality.

social justice.

advocacy

Answer and Explanation

The Correct Answer is D

A. Responsibility: Responsibility refers to the duty or obligation to fulfill one's role or tasks appropriately. While advocating for the client may be considered a responsibility of the nurse, the specific action described in the scenario—calling the insurance company to strongly explain the client's need for rehabilitation—is more accurately categorized as advocacy.

B. Confidentiality: Confidentiality pertains to protecting the privacy and confidentiality of patient information. The scenario does not involve the disclosure of confidential information but rather advocating for the client's needs regarding their rehabilitation placement.

C. Social justice: Social justice involves promoting fairness, equality, and equitable access to resources and opportunities for all members of society. While advocating for the client may align with principles of social justice, the specific action described in the scenario—calling the insurance company to argue for the client's rehabilitation placement—is more directly related to individual advocacy rather than addressing broader societal inequalities.

D. Advocacy: Advocacy refers to actively supporting and speaking up for the rights, needs, and interests of others. In this scenario, the nurse advocates for the elderly client by calling the insurance company to strongly explain why the client needs to go to a rehabilitation facility despite the facility's refusal. This action demonstrates the nurse's commitment to ensuring the client receives appropriate care and support.

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Correct Answer is D

Explanation

A. cloudy urine: Cloudy urine typically refers to urine that appears turbid or murky due to the presence of various substances such as protein, bacteria, or mucus. While cloudy urine can sometimes indicate a urinary tract infection or other medical conditions, it is not specific to hematuria, which refers to the presence of blood in the urine.

B. protein in the urine: Protein in the urine, also known as proteinuria, is a separate finding from hematuria. Proteinuria occurs when there is an abnormal amount of protein in the urine, which can indicate kidney damage or other medical conditions. While proteinuria can coexist with hematuria in some cases, they are distinct assessment findings.

C. Difficult urination: Difficult urination, also known as dysuria, refers to pain, discomfort, or difficulty during urination. Dysuria can be caused by various factors such as urinary tract infections, bladder inflammation, or urethral disorders. While dysuria can sometimes accompany hematuria, they are different assessment findings with distinct underlying causes.

D. blood in urine: This statement is correct. Hematuria is the medical term for the presence of red blood cells in the urine, resulting in urine that appears pink, red, or brownish. Hematuria can be caused by a wide range of conditions, including urinary tract infections, kidney stones, bladder cancer, or kidney disease. It is an essential finding to report during an admission assessment as it may indicate underlying medical issues that require further evaluation and treatment.

A. sorry. B. accountable. C. altruistic. D. just.

Correct Answer is B

Explanation

A. Sorry: Expressing regret or remorse for an error is important, but it does not fully encompass the ethical responsibility demonstrated in this scenario. While acknowledging the mistake and feeling sorry is essential, the nurse's primary ethical obligation lies in taking appropriate action to rectify the error and prevent harm to the client.

B. Accountable: Being accountable involves taking responsibility for one's actions, including acknowledging errors, reporting them promptly, and taking corrective measures. In this scenario, the nurse demonstrates accountability by recognizing the administration of a wrong dose of medication and promptly informing the supervisor. Accountability is a fundamental ethical principle in healthcare that promotes transparency, integrity, and patient safety.

C. Altruistic: Altruism involves acting in the best interests of others, often selflessly and without expecting personal gain. While reporting errors and ensuring patient safety can be considered altruistic actions, the primary ethical behavior demonstrated in this scenario is accountability, as the nurse takes responsibility for the medication error.

D. Just: Justice in healthcare refers to fairness, equity, and adherence to ethical principles in the distribution of resources and provision of care. While ensuring justice is an important ethical consideration in healthcare, it is not directly applicable to the nurse's behavior in this scenario. The primary ethical principle demonstrated here is accountability, as the nurse takes responsibility for the medication error and acts to address it appropriately.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is completing an admission assessment. The client reports a 2-day history of hematuria. Which term describes this assessment finding?

Correct Answer is D

Explanation

A nurse realizes that a wrong dose of medication has been administered to the client. The supervisor is immediately informed. Ethically, this behavior is best described as being:

Correct Answer is B

Explanation

A client has with profuse diarrhea from food poisoning contracted at a company picnic 12 hours ago. The nurse's care for this client should include: ...

The nurse collects a urine sample from a newly admitted client. The color of the urine is slightly pink. The first nursing action would be to:

The nurse is caring for a client who has kidney disease. The client has urinated 250 mL over the past 24 hours. The nurse describes this urine output as:

The client's urine is cloudy, amber, and has an unpleasant odor. The nurse should make the inference that the client may have:

The physician has ordered replacement fluids for a client who has a fluid volume deficit with a diagnosis of gastroenteritis. The nurse would expect the use of which type of fluids initially upon admission?

The nurse is assessing a 66-year-old client who reports having a fever and feeling weak and dizzy with nausea and vomiting for three days. The nurse observes a dry tongue and oral mucosa, and concentrated urine. To best assess the client's fluid status, which parameter(s) should the nurse check?

The nurse is caring for a client with a fluid volume deficit and hypovolemia. What actions can the nurse take without a physician's order?

A 35-year-old male client shares with the nurse that he has always thought of himself as being female. The client feels anxious, embarrassed and socially isolated. How should the nurse respond to this client?