The nurse speaks on behalf of others who are unable to speak for themselves. The nurse is performing which of the following roles?
1. Advocate
2. Caregiver
3. Coordinator
4. Collaborator
ANS: 1
A nurse speaking on behalf of others who are unable to speak for themselves is performing the role of advocate.
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Infection control is a high priority in every setting where nursing care is provided. When performing a home visit, how should the nurse best implement the principles of infection control?
A) Perform hand hygiene before and after giving direct patient care. B) Remove the patient's wound dressings from the home promptly. C) Disinfect the patient's syringes prior to disposal. D) Establish a sterile field in the patient's home before providing care.
A client admitted with a long history of alcohol abuse is at risk to go through withdrawal and suffer delirium tremens (DTs). The nurse knows to assess the client for:
A) lethargy and fine tremors. B) fever, diaphoresis, and hyperactivity. C) grand mal seizures. D) confusion, delusions, and hallucinations.
Measurement of the patient's ability to differentiate between sharp and dull sensations over the forehead tests which cranial nerve?
a. Abducens b. Facial c. Trigeminal d. Oculomotor
A client is scheduled for an abdominal paracentesis. Which of the following should the nurse instruct the client to do before the procedure?
1. Empty the bladder. 2. Drink a large glass of water. 3. Eat a full meal. 4. Sleep for several hours.