A nurse is caring for a group of clients. In which of the following scenarios is the nurse acting as a client advocate?
The nurse files an incident report regarding a medication error.
The nurse provides wound care to a client at the time promised to the client.
The nurse declines to inform a client's neighbor about the client's prognosis.
The nurse refers a client who has chronic obstructive pulmonary disease for palliative care services.
The Correct Answer is C
Answer: C. The nurse declines to inform a client's neighbor about the client's prognosis.
Rationale:
A) The nurse files an incident report regarding a medication error:
Filing an incident report is crucial for patient safety and quality improvement but primarily serves organizational processes. It helps identify and address systemic issues to prevent future errors, but it is not a direct act of advocacy for the individual client.
B) The nurse provides wound care to a client at the time promised to the client:
Providing timely care demonstrates reliability and respect for the client's needs, which is an important aspect of nursing care. However, this action alone does not constitute advocacy, as it is more about fulfilling professional responsibilities and maintaining trust.
C) The nurse declines to inform a client's neighbor about the client's prognosis:
Declining to share confidential information with a neighbor is a direct act of advocacy. It protects the client's right to privacy and confidentiality, ensuring that sensitive health information is disclosed only to authorized individuals. Upholding these ethical standards is a fundamental aspect of advocating for the client's rights and dignity.
D) The nurse refers a client who has chronic obstructive pulmonary disease for palliative care services:
Referring a client to palliative care is an important aspect of providing holistic and compassionate care, but it is a broader action related to care coordination rather than a specific advocacy action in the context of maintaining client confidentiality and rights.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Expiratory rhonchi are typically associated with conditions such as chronic bronchitis or asthma but are not specific to pulmonary embolism.
Choice B rationale:
Petechiae over the lower extremities is not a characteristic finding in pulmonary embolism. Petechiae are tiny red or purple spots that appear due to bleeding under the skin and may be associated with other conditions like thrombocytopenia.
Choice C rationale:
The correct choice. Hemoptysis, which refers to coughing up blood, is a concerning finding in pulmonary embolism. It occurs due to the obstruction of blood flow in the pulmonary vasculature, leading to blood leaking into the lungs.
Choice D rationale:
Flattened neck veins are more likely to be observed in conditions associated with decreased venous return to the heart, such as hypovolemia or cardiac tamponade, and are not directly related to pulmonary embolism.
Correct Answer is B
Explanation
Choice A rationale:
An elevated WBC count (11,000/mm²) in a client starting treatment for MRSA infection may indicate an inflammatory response, but it is expected in this scenario, and the priority is not as high as other critical lab values.
Choice B rationale:
A serum pH of 7.25 indicates acidosis, which is a potentially life-threatening condition. In type 1 diabetes mellitus, diabetic ketoacidosis (DKA) is a common complication that can lead to metabolic acidosis. This lab result is a priority as it requires immediate attention.
Choice C rationale:
Hematocrit of 26% in a client with sickle cell disease might be low, but it is not the priority over the critically abnormal lab value of serum pH in option B.
Choice D rationale:
A urine specific gravity of 1.032 in a client diagnosed with dehydration is elevated, indicating concentrated urine due to dehydration. While dehydration is concerning, it is not as high-priority as the potentially life-threatening acidosis in option B.
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