A client expresses concern about receiving proper care in accordance with the client's religion. Which action is best for the nurse to take?

Research the religion on different social media platforms.

Consult with a nurse who shares the same religious beliefs.

Explain that every client will receive the same high level of care.

Ask the client about individual care preferences.

Answer and Explanation

The Correct Answer is D

Choice A reason: Researching the religion on social media is not a reliable or appropriate method for understanding individual care needs.

Choice B reason: Consulting with a nurse who shares the same religious beliefs may provide insight but does not address the specific concerns of the client.

Choice C reason: Explaining that every client receives the same high level of care does not address the client's individual religious needs and concerns.

Choice D reason: Asking the client about individual care preferences ensures that the nurse understands and respects the client's specific religious beliefs and practices.

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Correct Answer is A

Explanation

Choice A reason: A history of suicide attempts is crucial information when planning the care of a client using heroin because there is a high risk of further suicide attempts, especially in individuals with substance use disorders. The nurse must prioritize mental health safety and implement measures to monitor and support the client's psychological well-being to prevent any potential self-harm.

Choice B reason: While family history of schizophrenia is important, it is not immediately crucial to the plan of care for a client currently using heroin. This information is more relevant for long-term monitoring and psychiatric evaluation rather than immediate care planning.

Choice C reason: Undiagnosed social anxiety disorder (SAD) may contribute to substance use; however, it is not the most urgent concern in this scenario. The focus should be on immediate safety and stabilization, particularly addressing the high risk of suicide.

Choice D reason: Feelings of disorientation are significant but could be a result of heroin use. While important to assess, they are secondary to the immediate concern of preventing self-harm in a client with a history of suicide attempts.

A. Prepare client for endotracheal intubation. B. Apply a nonrebreather mask at 100% oxygen. C. Place the client in a forward-leaning position. D. Obtain a sputum sample for culture and sensitivity.

Correct Answer is B

Explanation

Choice A reason: Preparing for endotracheal intubation is not the first step. The nurse should first attempt less invasive measures to improve oxygenation.

Choice B reason: Applying a nonrebreather mask at 100% oxygen is an appropriate initial intervention to rapidly improve the client's oxygen levels.

Choice C reason: Placing the client in a forward-leaning position may help with breathing but does not address the immediate need for increased oxygenation.

Choice D reason: Obtaining a sputum sample for culture and sensitivity is important for identifying the cause of the infection but is not the immediate priority.

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A client expresses concern about receiving proper care in accordance with the client's religion. Which action is best for the nurse to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During an admission assessment, a client reports currently using heroin. Which information is most important for the nurse to consider in the plan of care?

Correct Answer is A

Explanation

Correct Answer is B

Explanation

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