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 B

Explanation

Choice A reason: Continuing with the blood pressure assessment without acknowledging the auscultatory gap may result in an inaccurate reading.

Choice B reason: Noting the presence of an auscultatory gap is important as it indicates a brief period when Korotkoff sounds disappear and then reappear, which can lead to underestimation of systolic blood pressure and overestimation of diastolic blood pressure if not recognized.

Choice C reason: Repositioning the stethoscope may not address the issue of the auscultatory gap and may lead to inaccurate readings.

Choice D reason: Re-inflating the cuff to a higher number is unnecessary and may cause discomfort without addressing the auscultatory gap.

A. Obtain clean catch urine for culture and sensitivity. B. Initiate broad spectrum IV antibiotic as secondary infusion. C. Collect a serum sample for hemoglobin and hematocrit. D. Give diphenhydramine prep for intravenous pyelogram. E. Force oral fluids to 2,000 mL/24 hours.

Correct Answer is ["A","B"]

Explanation

Choice A reason: Obtaining a clean catch urine sample for culture and sensitivity is crucial for identifying the specific bacteria causing the infection and determining the appropriate antibiotic treatment.

Choice B reason: Initiating broad spectrum IV antibiotics is important to start treating the infection immediately, especially given the severity of the symptoms.

Choice C reason: Collecting a serum sample for hemoglobin and hematocrit is not immediately necessary in this scenario. The focus should be on diagnosing and treating the infection.

Choice D reason: Giving diphenhydramine prep for intravenous pyelogram is not relevant to the immediate management of the client's condition.

Choice E reason: Forcing oral fluids can help flush out the urinary system, but it is not the most critical initial intervention compared to obtaining a urine culture and starting antibiotics.

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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

After inflating a blood pressure cuff and releasing the valve, the nurse hears silence followed by a Korotkoff sound. Which action should the nurse take next?

Correct Answer is B

Explanation

An adult is admitted with acute flank pain, a 102°F (38.9°C) oral temperature, hematuria, dysuria, urgency, and fishy-smelling urine. Which admitting prescription(s) are most important for the nurse to implement? Select all that apply.

Correct Answer is ["A","B"]

Explanation

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