A nurse is assisting with the admission of a client.
Which of the following statements should the nurse make to demonstrate the principle of advocacy?

“I will speak with your provider on your behalf.”.

“I will do my best to fulfill my promises to you.”.

“I will keep your personal information private.”.

“I will let you make decisions about your health care.”.

Answer and Explanation

The Correct Answer is A

The correct answer is choice A: "I will speak with your provider on your behalf."

Choice A rationale: The principle of advocacy in nursing involves supporting and speaking up for clients to ensure their rights, needs, and preferences are respected. By offering to speak with the provider on the client's behalf, the nurse demonstrates advocacy by actively working to represent the client's interests and facilitate communication between the client and the health care team.

Choice B rationale: While promising to fulfill commitments is an aspect of maintaining professional integrity, it does not directly demonstrate advocacy. Advocacy is more about actively supporting the client's rights and needs rather than personal dedication to fulfilling promises.

Choice C rationale: Maintaining the privacy and confidentiality of client information is essential in nursing practice, but it is not specifically related to advocacy. Privacy is a separate ethical principle that focuses on protecting the client's personal information and upholding their right to privacy.

Choice D rationale: Encouraging clients to make decisions about their health care is important for promoting autonomy. However, advocacy involves actively supporting the client's decisions and ensuring their rights are respected, rather than simply allowing them to make decisions.

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Correct Answer is D

Explanation

It's common practice to check blood pressure in both arms when there is a significant discrepancy in blood pressure readings between the arms. This discrepancy could be due to factors like arterial blockages or other conditions. By measuring the blood pressure in the other arm, the nurse can confirm whether the high blood pressure is consistent on both sides or if there was an issue with the initial measurement. This step helps provide a more accurate assessment of the client's blood pressure.

- The other options are not appropriate at this stage:

Deflating the cuff faster may not resolve the issue and could lead to inaccurate measurements.

Requesting a prescription for an antihypertensive medication should only be done after confirming the blood pressure is consistently elevated and under the direction of a healthcare provider.

Using a narrower cuff is not indicated in this situation. It's more important to assess the other arm's blood pressure to identify any discrepancies.

A. Bear weight on the unaffected leg. B. Keep the crutches at the level of the axillae. C. Stand with the crutch tips against the feet. D. Hold the arms straight when walking.

Correct Answer is A

Explanation

This gait pattern is used when one of the lower extremities is unable to fully bear weight due to fracture, amputation, joint replacement etc12 The client should advance both crutches and the affected leg as one unit, and then bring the unaffected leg forward to the crutches as the second unit

Choice B is wrong because keeping the crutches at the level of the axillae can cause nerve damage and reduce circulation.

The crutches should be positioned with 2 fingers of distance between the axilla and the axilla pad with the elbow flexed between 20-30 degrees

Choice C is wrong because standing with the crutch tips against the feet can cause instability and increase the risk of falling.

The crutch tips should be placed about 15 cm (6 inches) in front of and 15 cm to the side of each foot

Choice D is wrong because holding the arms straight when walking can cause fatigue and strain on the shoulders and wrists.

The client should keep a slight bend in the elbows when walking with crutches

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A nurse is assisting with the admission of a client. Which of the following statements should the nurse make to demonstrate the principle of advocacy?

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Correct Answer is D

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A nurse is assisting with the admission of a client.
Which of the following statements should the nurse make to demonstrate the principle of advocacy?