A nurse is teaching a client who has AIDS and wishes to continue self-care at home despite living alone.
Which of the following actions by the nurse demonstrates client advocacy?
Tell the client to avoid places where there are large crowds of people.
Instruct the client to avoid eating raw vegetables.
Remind the client of the importance of medication adherence.
Initiate a referral for the client to a home health agency.
The Correct Answer is D
Initiate a referral for the client to a home health agency.
This action demonstrates client advocacy because it empowers the client to continue self-care at home while also providing them with additional support and resources through the home health agency.
Choice A is wrong because avoiding large crowds of people is a precautionary measure but does not demonstrate client advocacy.
Choice B is wrong because avoiding raw vegetables is a dietary recommendation but does not demonstrate client advocacy.
Choice C is wrong because reminding the client of the importance of medication adherence is important but does not demonstrate client advocacy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is A. Back pain.
Choice A reason: Back pain during a blood transfusion is a classic symptom of a hemolytic transfusion reaction. This type of reaction occurs when the immune system attacks the transfused red blood cells, leading to their destruction. Back pain is considered a more specific and early sign of this reaction.
Choice B reason: Bradycardia, which is a slower than normal heart rate, is not typically associated with hemolytic transfusion reactions. The normal range for an adult’s resting heart rate is between 60 to 100 beats per minute. Bradycardia is usually considered when the heart rate is lower than 60 beats per minute in a resting adult. It can be a sign of a well-trained athlete or can occur as a result of certain medications or heart conditions, but it is not a recognized symptom of a hemolytic transfusion reaction.
Choice C reason: Hypertension, or high blood pressure, is also not a common symptom of a hemolytic transfusion reaction. Normal blood pressure ranges from 90/60 mmHg to 120/80 mmHg. Hypertension is typically defined as having a blood pressure higher than 130/80 mmHg. While hypertension can be a serious condition, it is not indicative of a hemolytic transfusion reaction.
Choice D reason: Chills are a symptom that can be associated with a hemolytic transfusion reaction, often occurring alongside fever and back pain. However, while chills can indicate a reaction, back pain is a more specific symptom that can help differentiate a hemolytic reaction from other types of transfusion reactions.
Correct Answer is C
Explanation
“You should expect a warm sensation after the injection of the contrast dye during the procedure.” During cardiac catheterization, a contrast dye is injected into the body to highlight blood flow through the arteries and show blockages in the blood vessels that lead to the heart.
This can cause a warm sensation.
Choice A is incorrect because usually, patients are awake during cardiac catheterization but are given medications to help them relax.
Choice B is incorrect because recovery time for a cardiac catheterization is quick.
Choice D is incorrect because there is no information found to support this statement.
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