A nurse assesses a patient's fluid status and decides that the patient needs to drink more fluids. The nurse then encourages the patient to drink more fluids. Which concept is the nurse demonstrating?
a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS: B
Autonomy is an essential element of professional nursing that involves the initiation of independent nursing interventions without medical orders. To obtain licensure in the United States, the RN candidate must pass the NCLEX-RN®. Beyond the NCLEX-RN®, the nurse may choose to work toward certification in a specific area of nursing practice. Accountability means that you are responsible, professionally and legally, for the type and quality of nursing care provided.
You might also like to view...
The nurse is teaching a 45-year-old woman about her fibrocystic breast condition. Which statement by the client indicates a lack of understanding?
a. "This condition will become malignant over time." b. "I should refrain from using hormone replacement therapy." c. "One cup of coffee in the morning should be enough for me." d. "This condition makes it more difficult to examine my breasts."
A client has had a total knee replacement and will need assistance for several weeks after discharge
She tells the nurse caring for her "I do not intend to assume the ‘sick role.'" The nurse knows the client is objecting to a. coordinating various aspects of medical and nursing care. b. giving up financial responsibility for hospital and medical care. c. giving up independent functioning to assume a dependent role. d. using a variety of defense mechanisms to reduce anxiety associated with hospitalization.
A patient with a history of angina asks the nurse whether it is safe to use oral pseudoephedrine for allergic rhinitis. Select the nurse's best response
a. "It is safe, provided you follow the instructions on the label." b. "It is safe to use this agent if you are also using nitroglycerin." c. "Rebound congestion is more common when a person with angina takes pseudoephedrine." d. "These agents should not be used by patients with any form of heart disease."
The nurse is analyzing the client's arterial blood gas report, which reveals a pH of 6.58. The client has just suffered a cardiac arrest. Which consequences of this pH value does the nurse consider for this client?
A) Decreased cardiac output B) Increase magnesium levels C) Decreased free calcium in the ECT D) Increased myocardial contractility