A client tells his nurse, "I really don't like the nurse on first shift; she treats me bad." Which action should the nurse take as an advocate for this client?

A) Call the agency client advocacy department.
B) Confront the nurse when she comes to work.
C) Tell the client he has the right to switch nurses.
D) Call the local authorities.


Answer: A

Individual clients who feel their rights have been violated or are endangered have a number of options. Many hospitals and large provider agencies have client advocates who can help clients navigate the system and intervene to ensure that their rights are maintained. Many states have an office designated by the governor or secretary of health to assist clients with issues related to patient rights in long-term care. The state's department of health may also be able to help.

Nursing

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A) Never, because it rapidly enters red blood cells, causing them to rupture. B) When the patient is severely dehydrated resulting in neurologic signs and symptoms C) When the patient is in excess of calcium and/or magnesium ions D) When a patient's fluid volume deficit is due to acute or chronic renal failure

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A critical care nurse is caring for a client with an endotracheal tube who is on a ventilator. The nurse knows that meticulous airway management of this patient is necessary. What is the rationale for this?

A) Maintaining a patent airway B) Preventing the need for suctioning C) Decreasing the patient's time on the ventilator D) Increasing the patient's lung compliance

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Which of the following examples of nursing actions that demonstrate being with is inaccurate?

1. Being emotionally present to another 2. Seeking to understand another point of view 3. Learning what matters most to each patient and family 4. Assessing the patient's physical well-being

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The nurse is aware that the situation that would warrant administration of iron supplements to a client with pernicious anemia is

a. poor appetite. b. increase in the total erythrocyte count in the peripheral circulation. c. discrepancy between hemoglobin and erythrocyte levels. d. paresthesia in the fingers.

Nursing