A client is scheduled for a mastectomy. As she is about to receive the preoperative medication, she tells the nurse that she does not want to have her breast removed but wants a lumpectomy
Which response indicates that the nurse is acting as a client advocate? a. Telling the client her surgeon is excellent and knows what is best for her condition
b. Calling the surgeon to come and explain all treatment options to the client
c. Holding the client's hand and offering to pray with her for a good outcome
d. Arranging for a postoperative visit from a cancer survivor
B
Clients have the right to be fully informed about their treatment plans and to change their minds. A client who expresses doubt, uncertainty, or a change of feeling about a treatment plan should be supported by the nurse and heard by the health care provider, and should serve as an active participant in treatment planning. The nurse would be functioning best as a client advocate by notifying the surgeon that the client wants a different treatment option. The nurse would not be acting as a client advocate by providing vague reassurance, arranging for a can-cer survivor to come meet with the client, or offering to pray with the client because none of these options would address the client's desire for a different treatment option. Calling the surgeon to come and explain all treatment options also promotes communication and client advocacy.
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A nurse is preparing a presentation for a local community group about diabetes. Which of the following would the nurse include when describing type 1 diabetes? Select all that apply
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The nurse is implementing nutritional changes to reduce the risk for skin breakdown in a client with impaired physical mobility. Which dietary modifications will the nurse reinforce? (Select all that apply.)
a. High-protein b. Low-protein c. High-carbohydrate d. Low-carbohydrate e. High-fat f. Low-fat
The nurse is measuring a newborn who experienced molding during a vaginal delivery. The nurse documents: head circumference: 13.5 inches and chest: 11.7 inches. What do these numbers mean?
A) The newborn is within the normal parameters for head and body size. B) The newborn is within the normal parameters for head, but body size is small. C) The newborn is within the normal parameters for body, but the head size is small. D) The newborn's head is larger than the body due to molding occurring during delivery.
Which of the following statements made by an older adult reflects the best understanding of the role of fiber regarding good bowel health?
1. "Fiber is very effective at cleaning out the bowels." 2. "A high-fiber diet results in softer bowel movements." 3. "Passing hard, dry stool is more uncomfortable and harder on the bowels." 4. "The more fiber there is in my diet, the less risk I have of developing polyps."