Nokea
The role of the nurse as patient advocate is accurately identified in which of these statements?
- A. Nurses evaluate only the negative outcomes of patient advocacy.
- B. Nurses provide only physical and emotional support.
- C. Advocacy practices are limited to within health care settings.
- D. Nurses work with patients, their families, other health care team members and third-party persons.
Correct Answer: D
Rationale: Nurse advocacy involves collaboration with patients, families, and others to promote client rights and well-being.
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A nurse is caring for a client in the immediate post-cardiac catheterization period. Which intervention should the nurse include in the client's care?
- A. monitor vital signs every 30 minutes for the first 2 hours
- B. assess the insertion site
- C. maintain the client in a prone position
- D. keep the client NPO for 2 hours
Correct Answer: A,B
Rationale: Monitoring vital signs and assessing the insertion site are critical to detect complications like bleeding. Prone positioning is incorrect, and NPO status is not typically required post-catheterization.
The RN is assigning a client to the LPN. The RN understands that the best assignment for the LPN is which client?
- A. a client receiving blood for a GI bleed
- B. a client with a PICC line requiring TPN
- C. a client who will receive enemas in preparation for a colonoscopy
- D. a client who needs preoperative teaching for bowel resection surgery
Correct Answer: C
Rationale: Administering enemas is within the LPN's scope and less complex than transfusion, TPN, or teaching.
A nurse is precepting a nursing student in the pediatrics unit. The student nurse is preparing to administer an injection to a 14-month-old infant. Which statement by the student nurse indicates a need for further teaching by the licensed nurse?
- A. I will use a needle that is 7/8 inch to 1 inch long.
- B. I will give this injection at a 90-degree angle of insertion.
- C. I will give this injection in the vastus lateralis with a 27 gauge needle.
- D. I can give this injection with a 25-gauge needle in the dorsogluteal area.
Correct Answer: D
Rationale: The dorsogluteal site is not recommended for infants due to sciatic nerve risk; the vastus lateralis is preferred.