A nurse is caring for a group of clients.
For which of the following situations should the nurse complete an incident
report? (Select all that apply.).

A client is unable to afford the physical therapy that the provider recommends.

A client reports being dissatisfied with the temperature of the meals provided.

A client’s visitor becomes dizzy and faints in the client’s room.

A client receives burns from a heating pad.

A client becomes disoriented and falls out of bed.

Answer and Explanation

Correct Answer : C,D,E

The correct answer is choice C, D, and E.

Choice A rationale: A client being unable to afford physical therapy is a financial issue, not an incident that affects patient safety or care quality. This situation should be addressed through social services or financial counseling, not an incident report.

Choice B rationale: A client being dissatisfied with meal temperature is a service quality issue, not a safety incident. This should be reported to the dietary department or patient services for resolution, not through an incident report.

Choice C rationale: A client’s visitor becoming dizzy and fainting in the client’s room is an incident that affects the safety of the visitor. An incident report should be completed to document the event, the visitor’s condition, and any actions taken to provide care or prevent future occurrences.

Choice D rationale: A client receiving burns from a heating pad is a safety incident that directly affects the client’s well-being. An incident report should be completed to document the injury, the circumstances leading to the burn, and any immediate care provided.

Choice E rationale: A client becoming disoriented and falling out of bed is a significant safety incident. An incident report should be completed to document the fall, the client’s condition, and any interventions implemented to prevent future falls.

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Correct Answer is A

Explanation

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.

A. 1 medium fresh green pear. B. 1 small apple with skin. C. 1 small banana. D. 1 small pink grapefruit.

Correct Answer is D

Explanation

This food has the highest vitamin C content among the four options, with about 80 to 100 mg of vitamin C per fruit.

Vitamin C is a water-soluble vitamin that acts as an antioxidant and helps with wound healing, immune function, collagen synthesis, and iron absorption.

Choice A is wrong because 1 medium fresh green pear has only about 4 to 5 mg of vitamin C per fruit.

Pears are a good source of fiber and potassium, but not vitamin

C. Choice B is wrong because 1 small apple with the skin has only about 8 to 9 mg of vitamin C per fruit.

Apples are a good source of fiber and flavonoids, but not vitamin

C. Choice C is wrong because 1 small banana has only about 10 to 11 mg of vitamin C per fruit.

Bananas are a good source of potassium, magnesium, and vitamin B6, but not vitamin

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A nurse is caring for a group of clients. For which of the following situations should the nurse complete an incident report? (Select all that apply.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a client who needs to increase vitamin C intake to promote wound healing. Which of the following foods should the nurse recommend as the best source of vitamin C?

Correct Answer is D

Explanation

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A nurse is assisting in creating a plan to reduce environmental stressors for clients in an acute care unit. Which of the following actions should the nurse include in the plan?

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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?

A nurse is caring for a group of clients. For which of the following situations should the nurse complete an incident report? (Select all that apply.).

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A nurse is caring for a group of clients.
For which of the following situations should the nurse complete an incident
report? (Select all that apply.).