A nurse is caring for a client who refuses a prescribed medical procedure. Which of the following actions should the nurse take to act as a client advocate
Evaluate the client’s concerns and communicate them to the provider.
Contact the unit’s social worker to report the client’s refusal.
Ask the client’s partner to find out why the client has refused the procedure.
Explain the necessity of the procedure to the client.
The Correct Answer is A
The correct answer is choice A. Evaluate the client’s concerns and communicate them to the provider.
This is because the nurse’s role as a patient advocate is to speak, act or behave in a way that benefits their patient, who may not be able to support or promote their own needs or interests.
The nurse should provide patients with information regarding their diagnoses, prognoses, treatments, and alternatives, and serve as a patient’s voice when necessary.
Choice B is wrong because contacting the unit’s social worker to report the client’s refusal is not an appropriate action for the nurse to take as a patient advocate.
The nurse should respect the patient’s autonomy and right to refuse treatment, and not involve other professionals without the patient’s consent.
Choice C is wrong because asking the client’s partner to find out why the client has refused the procedure is not an appropriate action for the nurse to take as a patient advocate.
The nurse should communicate directly with the patient and not rely on third parties to obtain information or influence the patient’s decision.
Choice D is wrong because explaining the necessity of the procedure to the client is not an appropriate action for the nurse to take as a patient advocate.
The nurse should not impose their own values or opinions on the patient, but rather provide unbiased and factual information and support the patient’s informed choice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
This means low sodium levels in the blood.
Sodium is an electrolyte that helps regulate fluid balance and nerve and muscle function.
Vomiting and diarrhea can cause dehydration and loss of sodium through fluids.
Normal sodium levels are between 135 to 145 millimole/Liter.
Choice A is wrong because hypermagnesemia means high magnesium levels in the blood.
Magnesium is another electrolyte that helps with nerve and muscle function, as well as blood pressure and blood sugar regulation.
Hypermagnesemia is rare and usually caused by kidney failure or excessive use of magnesium supplements or laxatives.
Normal magnesium levels are between 1.46 to 2.68 milligram/deciliter.
Choice C is wrong because hypocalcemia means low calcium levels in the blood.
Calcium is an electrolyte that helps with bone health, muscle contraction, blood clotting and nerve signaling.
Hypocalcemia can be caused by vitamin D deficiency, kidney disease, thyroid problems or certain medications.
Normal calcium levels are between 8.8 to 10.7 milligram/deciliter.
Choice D is wrong because hyperkalemia means high potassium levels in the blood.
Potassium is an electrolyte that helps with nerve and muscle function, especially the heart.
Hyperkalemia can be caused by kidney disease, diabetes, adrenal gland disorders or certain medications.
Normal potassium levels are between 3.6 to 5.5 millimole/Liter.
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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