A charge nurse is providing an in-service about client advocacy to a group of newly licensed nurses. Which of the following examples should the nurse include?

Witnessing a client's signature for informed consent

Instructing a client about how to apply antiembolic stockings

Ensuring that all clients receive equal treatment

Requesting a social services consultation for a client who states they cannot afford their medications

Answer and Explanation

The Correct Answer is D

A. Witnessing a client's signature for informed consent: Witnessing consent is a legal responsibility, not an advocacy role. The nurse verifies the client’s signature but does not address the client’s needs or ensure their voice is represented in care decisions.

B. Instructing a client about how to apply antiembolic stockings: Teaching a client is part of health promotion and nursing education. While important, it does not represent advocacy since it does not involve speaking up or acting on behalf of the client’s expressed needs.

C. Ensuring that all clients receive equal treatment: Providing equitable care is an ethical obligation for all nurses but does not fully represent advocacy. Advocacy specifically involves acting on a client’s behalf when barriers or unmet needs are identified.

D. Requesting a social services consultation for a client who states they cannot afford their medications: This is advocacy because the nurse is acting on the client’s expressed concern and connecting them to resources that address barriers to care. It ensures the client’s health needs are supported beyond routine clinical interventions.

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

Explanation

A. Schedule the client as the last surgery of the day: Clients with latex allergy should ideally be scheduled as the first surgery of the day to minimize exposure to latex particles that may accumulate in the air and environment. Scheduling last increases exposure risk.

B. Notify ancillary departments of the client's allergy: Informing all relevant departments, such as pharmacy, radiology, and laboratory services, ensures that latex-free supplies are used consistently throughout the client’s care. This prevents accidental exposure to latex-containing products.

C. Label the surgical suite as latex-free: Clearly labeling the operating room reduces the risk of staff inadvertently bringing in latex products. It promotes team-wide awareness and helps maintain a safe surgical environment for the client.

D. Provide powdered gloves for the staff's use: Powdered latex gloves are contraindicated because they release latex proteins into the air, which increases the risk of allergic reactions. Only non-latex, powder-free gloves should be provided.

E. Ensure a latex allergy cart is available: Having a latex allergy cart stocked with latex-free supplies ensures that all necessary items are available during the procedure. This reduces delays and eliminates the need to search for suitable equipment during surgery.

A. Encourage client to consume foods with zinc. B. Apply ice pack to left foot for 30 min/hr. C. Administer an oral antiviral medication. D. Obtain a culture of the client's wound. E. Administer tetanus toxoid injection. F. Apply transparent dressing over the client's wound. G. Place client in airborne precautions.

Correct Answer is ["A","D","E"]

Explanation

A. Encourage client to consume foods with zinc: Zinc plays an important role in wound healing and immune function. Since this client has diabetes and an infected wound, zinc-rich foods can support tissue repair and recovery, making this prescription appropriate.

B. Apply ice pack to left foot for 30 min/hr: Ice is not appropriate for an infected wound because it can impair circulation and slow healing. Instead, treatment should focus on infection management, wound care, and improving blood flow.

C. Administer an oral antiviral medication: The client’s presentation is consistent with a bacterial infection, not a viral process. Purulent drainage, fever, and wound infection require antibacterial therapy, not antiviral medications.

D. Obtain a culture of the client's wound: Wound culture is necessary to identify the causative organism and guide antibiotic therapy. This is an important step in managing diabetic foot infections, which often involve resistant bacteria.

E. Administer tetanus toxoid injection: Since the wound occurred after stepping on glass or metal, there is a risk of tetanus exposure. Administering a tetanus booster is recommended if vaccination is not up to date or uncertain.

F. Apply transparent dressing over the client's wound: Transparent dressings are not suitable for infected wounds with drainage because they can trap moisture and bacteria. Instead, absorbent dressings should be used to promote healing.

G. Place client in airborne precautions: Airborne precautions are for illnesses such as tuberculosis or measles. A foot wound infection does not spread via airborne transmission, so this is unnecessary.

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A charge nurse is providing an in-service about client advocacy to a group of newly licensed nurses. Which of the following examples should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is completing a preadmission interview for a client who is to undergo surgery the following day. The client reports a latex allergy. Which of the following interventions should the nurse include when planning care for the client's surgery? (Select all that apply.)

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

Explanation

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Correct Answer is ["A","D","E"]

Explanation

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