A nurse is inserting an indwelling urinary catheter for a female client.
In which order should the nurse perform the following steps? (Move the steps
into the box on the right, placing them in the order of performance.
Use all the steps.).

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.

The correct answer is choice A: "I will speak with your provider on your behalf."

Choice A rationale: The principle of advocacy in nursing involves supporting and speaking up for clients to ensure their rights, needs, and preferences are respected. By offering to speak with the provider on the client's behalf, the nurse demonstrates advocacy by actively working to represent the client's interests and facilitate communication between the client and the health care team.

Choice B rationale: While promising to fulfill commitments is an aspect of maintaining professional integrity, it does not directly demonstrate advocacy. Advocacy is more about actively supporting the client's rights and needs rather than personal dedication to fulfilling promises.

Choice C rationale: Maintaining the privacy and confidentiality of client information is essential in nursing practice, but it is not specifically related to advocacy. Privacy is a separate ethical principle that focuses on protecting the client's personal information and upholding their right to privacy.

Choice D rationale: Encouraging clients to make decisions about their health care is important for promoting autonomy. However, advocacy involves actively supporting the client's decisions and ensuring their rights are respected, rather than simply allowing them to make decisions.