The nurse has agreed to serve as a client’s advocate at the meeting of the hospital ethics committee, which was called to address an ethical dilemma involving the client. To successfully represent the client, which action is essential for the nurse to take?

Educate the client about current nursing literature findings related to the client’s ethical dilemma.

Develop self-awareness of the nurse’s personal values to avoid imposing these values on the client.

Listen to the ethics committee’s recommendations.

Challenge members of the healthcare team whose opinions differ from the wishes of the client.

Answer and Explanation

The Correct Answer is B

Choice A reason: Educating the client about nursing literature may inform them but is not essential for advocacy. Advocacy requires prioritizing the client’s wishes, which demands the nurse’s neutrality. Personal value awareness ensures the nurse represents the client’s perspective without bias, making it more critical than providing literature-based education.

Choice B reason: Developing self-awareness of personal values prevents the nurse from imposing biases, ensuring advocacy reflects the client’s wishes. This is essential for ethical representation, as unrecognized biases can skew advocacy. Self-awareness aligns with nursing ethics, enabling the nurse to uphold the client’s autonomy during the committee’s deliberations.

Choice C reason: Listening to the ethics committee’s recommendations is important but not the nurse’s primary advocacy role. Advocacy requires actively representing the client’s wishes, which hinges on value neutrality. Self-awareness ensures the nurse prioritizes the client’s perspective over committee opinions, making it a more essential action for effective advocacy.

Choice D reason: Challenging differing opinions may be part of advocacy but is not the foundational step. Self-awareness of personal values ensures the nurse’s advocacy remains client-centered, avoiding bias. Challenging others without this awareness risks prioritizing personal beliefs over the client’s wishes, undermining the nurse’s role as an ethical advocate.

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

Explanation

Choice A reason: A 24-hour routine analgesic schedule may lead to overmedication or undermedication, as pain varies. PRN dosing based on pain assessment (e.g., numerical scale) is more appropriate. Routine administration disregards individual pain patterns, risking adverse effects or inadequate relief, making this intervention less suitable for inclusion.

Choice B reason: Encouraging fluid intake and measuring urinary output promotes hydration and monitors renal function, critical for clients with systemic issues or medications affecting kidneys. This intervention supports physiological stability, prevents complications like dehydration, and provides data for care adjustments, making it essential for the plan of care.

Choice C reason: Assisting with ambulation enhances circulation, prevents complications like thrombosis, and supports recovery. For clients with mobility limitations, guided ambulation during waking hours improves strength and independence. This intervention aligns with rehabilitation goals, making it a key component of a comprehensive care plan.

Choice D reason: Comfort measures like warm application and tactile massage reduce pain and stress non-pharmacologically. These interventions improve client comfort, promote relaxation, and complement other pain management strategies. Including them in the care plan supports holistic care, addressing both physical and emotional needs effectively.

Choice E reason: Using a numerical pain scale quantifies subjective pain, guiding tailored interventions. Regular assessment ensures timely analgesic administration and evaluates treatment efficacy. This intervention is critical for pain management, aligning with evidence-based practice to optimize client comfort and recovery, making it essential for the care plan.

A. Removes needle before discarding used syringes. B. Wears gloves to dispose of the needle and syringe. C. Dons a face mask before administering the medication. D. Washes hands before handling the needle and syringe.

Correct Answer is D

Explanation

Choice A reason: Removing the needle before discarding syringes increases the risk of needlestick injury, violating standard precautions. CDC guidelines recommend disposing of needles and syringes as a single unit in a sharps container to prevent exposure to bloodborne pathogens. This action demonstrates a misunderstanding of safe handling and infection control practices.

Choice B reason: Wearing gloves to dispose of needles and syringes is cautious but not a core component of standard precautions for home administration. Gloves are secondary to handwashing, which prevents contamination before handling equipment. This action is less critical than hand hygiene, which is universally required to minimize infection risk in medication administration.

Choice C reason: Donning a face mask before administering medication is unnecessary for standard precautions unless there is a risk of respiratory droplet transmission, which is not typical for syringe use. This action is irrelevant to preventing bloodborne pathogen exposure, indicating a misunderstanding of the infection control measures required for safe medication administration.

Choice D reason: Washing hands before handling needles and syringes is a fundamental standard precaution. Hand hygiene prevents contamination of sterile equipment and reduces infection risk, as per CDC guidelines. This action demonstrates proper understanding of infection control, ensuring safety during medication preparation and administration in a home setting.

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The nurse has agreed to serve as a client’s advocate at the meeting of the hospital ethics committee, which was called to address an ethical dilemma involving the client. To successfully represent the client, which action is essential for the nurse to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After reviewing the admission assessment of a client, which intervention(s) should the nurse include in this client’s plan of care? (Select all that apply)

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

Explanation

The nurse is teaching a client about use of syringes and needles for home administration of medications. Which action by the client indicates an understanding of standard precautions?

Correct Answer is D

Explanation

After an IV antibiotic is started, the nurse discovers that the medication is not prescribed for the client and stops the infusion. Which action should the nurse implement next?

A prescription for bilateral soft wrist restraints is obtained for an older adult client who has repeatedly removed the nasogastric tube (NGT) and IV sites. After applying the restraints, which action is most important for the nurse to take?

The nurse has agreed to serve as a client’s advocate at the meeting of the hospital ethics committee, which was called to address an ethical dilemma involving the client. To successfully represent the client, which action is essential for the nurse to take?

Which intervention should the nurse implement for a client?

Which assessment is most important for the nurse to perform prior to the application of a heating pad?

An older adult woman with end-stage heart disease is hospitalized for severe heart failure (HF). She is alert, oriented, and requests that no heroic measures are implemented if her breathing stops. Which action should the nurse take first?