A nurse is conducting an in-service on client advocacy with a group of newly licensed nurses. Which of the following scenarios should the nurse include as examples of client advocacy? (Select all that apply.)

Initiating IV access on a client who has dementia while he is sleeping

Implementing a client's plan of care based upon nursing goals

Providing written information to a client regarding palliative care

Obtaining an interpreter for a client who speaks a different language than the nurse

Documenting a client's refusal to take a prescribed medication

Answer and Explanation

Correct Answer : C,D,E

Rationale:
A. Initiating IV access while a client with dementia is sleeping violates autonomy and informed consent—this is not advocacy.
B. Implementing a plan of care based on nursing goals reflects nursing practice, but advocacy focuses on protecting the client’s rights and wishes, not just following nursing objectives.
C. Providing written information about palliative care supports informed decision-making, which is a key aspect of advocacy.
D. Obtaining an interpreter ensures the client understands their care and can make informed decisions, which is an advocacy action.
E. Documenting a client’s refusal of medication respects and upholds the client’s autonomy, which is a form of advocacy.

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Correct Answer is C

Explanation

Rationale:
A. Determining the adequacy of ventilator settings requires assessment and critical judgment, which is the responsibility of an RN, not an LPN.
B. Picking up meal trays is a non-nursing task and can be delegated to assistive personnel (AP).
C. Administering a nasogastric tube feeding is within the scope of practice for an LPN, making this an appropriate assignment.
D. Planning break times for APs is a supervisory responsibility that falls under the role of the RN, not the LPN.

A. The AP uses alcohol hand antiseptic after caring for a client who has Clostridium difficile. B. The AP wears a mask when caring for a client who has varicella. C. The AP closes the door of a client who is on airborne precautions. D. The AP removes cut flowers from the room of a client who is in a protective environment.

Correct Answer is A

Explanation

Rationale:
A. Alcohol-based hand sanitizer is not effective against C. difficile spores. Hands must be washed with soap and water to physically remove the spores, making this action unsafe and requiring intervention.
B. Wearing a mask when caring for a client who has varicella is appropriate for airborne precautions.
C. Closing the door of a client on airborne precautions helps contain infectious particles and is correct.
D. Removing cut flowers from the room of a client in a protective environment is appropriate to reduce the risk of infection.

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A nurse is conducting an in-service on client advocacy with a group of newly licensed nurses. Which of the following scenarios should the nurse include as examples of client advocacy? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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