A nurse is teaching a group of newly licensed nurses about client advocacy. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching?

“I should advise a client about what I feel to be his best health care decision."

"I should not advocate for a client unless he is able to ask me himself."

“I will intervene if there is a conflict between a client and his provider."

“I will inform a client that his family should help make his health care decisions."

Answer and Explanation

The Correct Answer is C

Rationale:

A. “I should advise a client about what I feel to be his best health care decision.": Advocacy involves supporting the client’s choices and rights, not imposing the nurse’s personal opinions. Advising based on personal beliefs undermines the client’s autonomy and is not consistent with professional advocacy.

B. "I should not advocate for a client unless he is able to ask me himself.": Client advocacy includes speaking up on behalf of clients who cannot voice their own needs, such as those who are incapacitated or vulnerable. Waiting for the client to ask would neglect the nurse’s responsibility to protect and support the client.

C. “I will intervene if there is a conflict between a client and his provider.": Advocacy involves intervening when a client’s rights, preferences, or safety are at risk, including resolving conflicts with providers. This demonstrates understanding of the nurse’s role in ensuring the client’s voice is heard and needs are met.

D. “I will inform a client that his family should help make his health care decisions.": While family input can be important, the client’s autonomy takes priority. Encouraging family decision-making over the client’s choices does not reflect proper advocacy and may compromise the client’s rights.

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Correct Answer is D

Explanation

Rationale:

A. Administer a continuous infusion of calcium gluconate: Calcium gluconate is not used for the management of preeclampsia or seizure prophylaxis. Magnesium sulfate is the medication of choice to prevent eclamptic seizures in clients with severe preeclampsia.

B. Place the client in the semi-Fowler's position: Semi-Fowler’s position does not optimize uteroplacental perfusion. Left lateral positioning is preferred to enhance blood flow to the uterus and improve maternal and fetal oxygenation.

C. Ensure bright lighting in the room: Bright lighting can increase stimulation and anxiety, which is not beneficial for a client at risk for seizures. A calm, low-stimulation environment is preferable to minimize seizure triggers.

D. Initiate seizure precautions: Clients with preeclampsia with severe features are at high risk for eclampsia, making seizure precautions essential. These include placing the bed in a low position, padding side rails, having oxygen and suction available, and monitoring closely for neurologic changes.

A. Instruct the client to bend at the waist to put on slippers B. Keep the client's heels elevated while in bed C. Massage the clients affected leg three times daily D. Maintain slight adduction of the client's affected hip

Correct Answer is D

Explanation

Rationale:

A. Instruct the client to bend at the waist to put on slippers: Bending at the waist increases the risk of hip dislocation after total hip arthroplasty. Clients should avoid flexing the hip beyond 90 degrees and use adaptive equipment for dressing to maintain safety.

B. Keep the client's heels elevated while in bed: Elevating the heels is not routinely indicated and may cause hip or knee strain. Proper positioning focuses on maintaining hip alignment and preventing dislocation or pressure injuries rather than heel elevation.

C. Massage the client’s affected leg three times daily: Massaging the leg after hip surgery is contraindicated due to the risk of dislodging a deep vein thrombus (DVT). Gentle range-of-motion exercises are preferred, but direct massage should be avoided until clotting risk is ruled out.

D. Maintain slight abduction of the client’s affected hip: Keeping the hip in slight abduction with pillows or abduction devices helps prevent dislocation of the prosthetic joint. Proper positioning is essential for safe recovery following total hip arthroplasty.

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A nurse is teaching a group of newly licensed nurses about client advocacy. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching?

Nursing Test Bank

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Explanation

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