A nurse is caring for a client who asks for information regarding terminating their treatment against their partner's wishes. By providing this information, the nurse is acting in which of the following roles for this client?
Conflict manager
Advocate
Social worker
Negotiator
The Correct Answer is B
A. Conflict manager: A conflict manager helps parties resolve disagreements and mediate disputes. In this scenario, the nurse is not mediating between the client and their partner but is providing guidance directly to the client.
B. Advocate: Acting as a client advocate involves supporting the client’s rights, choices, and best interests, even when others may disagree. By providing information about treatment termination, the nurse empowers the client to make informed decisions independently.
C. Social worker: A social worker provides counseling, resources, and support for psychosocial needs. While the nurse may offer similar guidance, the role described focuses on protecting client rights rather than providing social services.
D. Negotiator: A negotiator facilitates agreement between parties through discussion or compromise. The nurse is not negotiating with the partner but is supporting the client’s autonomy, which aligns with advocacy rather than negotiation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Capillary refill less than 2 seconds: Normal capillary refill indicates adequate peripheral perfusion. This finding does not suggest a complication of IV therapy and reflects proper circulation in the extremity.
B. Bilateral brachial pulses +3: Strong, equal pulses in both arms indicate normal arterial blood flow. This is not indicative of IV complications and shows the limb is well perfused.
C. Blood return from IV site catheter: Blood return from the IV catheter confirms proper placement within the vein. This is an expected finding and does not signal a complication.
D. Dark streak at the vein of the insertion site: A dark streak along the vein suggests infiltration, phlebitis, or early thrombophlebitis. This indicates a complication of IV therapy and requires immediate assessment, site removal or rotation, and appropriate interventions to prevent further tissue damage.
Correct Answer is C
Explanation
A. Presence of 50 mL/hr in the drainage chamber: Some drainage after chest tube placement is expected. A rate of 50 mL/hr is within a typical range for postoperative monitoring, especially in the first 24 hours, and does not usually require immediate provider notification unless it increases significantly or becomes bloody.
B. Tidaling occurs when the client is breathing: Tidaling, or the rise and fall of fluid in the water seal chamber with respiration, indicates that the chest tube system is patent and functioning correctly. This is an expected finding and reflects normal intrathoracic pressure changes during breathing.
C. Continuous bubbling in the water seal chamber: Continuous bubbling in the water seal chamber suggests an air leak in the system. This is abnormal and requires provider notification because persistent air leaks can impair lung re-expansion, compromise respiratory function, and may indicate malfunction of the system or a worsening pneumothorax.
D. Oxygen saturation of 92% on room air: An oxygen saturation of 92% is slightly below normal but may be expected immediately postoperative or in clients with lung compromise. It requires monitoring and supplemental oxygen if needed, but it is not as urgent as a continuous air leak in the chest tube system.
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