A nurse is caring for a client who reports feeling spiritual distress because his prescribed treatment plan conflicts with his religion. Which of the following actions should the nurse take first?

Ask the client to describe his spiritual beliefs.

Provide available resources on spiritual care for the client.

Consult a dietitian to incorporate the client's religious preferences into a meal plan.

Offer to contact the local leader of the client's religious group.

Answer and Explanation

The Correct Answer is A

A. Ask the client to describe his spiritual beliefs. This is correct. Understanding the client’s spiritual beliefs is the first step in providing appropriate and individualized care.
B. Provide available resources on spiritual care for the client. Providing resources is helpful but should follow an understanding of the client’s specific needs and beliefs.
C. Consult a dietitian to incorporate the client's religious preferences into a meal plan. This is important for comprehensive care but is not the first step in addressing spiritual distress related to treatment conflicts.
D. Offer to contact the local leader of the client's religious group. Contacting a religious leader can be supportive, but the first step should be to understand the client’s specific spiritual beliefs and concerns.

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Correct Answer is A

Explanation

A. Ativan 1 mg IV given at 1030 following OR call. This is correct. The entry is clear and includes the medication name, dose, route, and time of administration.
B. Acetaminophen 500 mg given for pain. The entry does not specify the route of administration or the time it was given.
C. MgSO4 infusing via IV pump: This is incorrect. Abbreviations like "MgSO4" can be confusing or misinterpreted. It should be written as "magnesium sulfate."
D. Insulin 5U administered SQ: This is incorrect. The entry uses the abbreviation "U" for units, which can be misinterpreted. It should be written as "units" and specify the exact time and site of administration.

A. Chronic obstructive pulmonary disease B. Gastroesophageal reflux disease C. Diabetes insipidus D. Rheumatoid arthritis

Correct Answer is B

Explanation

A. Chronic obstructive pulmonary disease is primarily related to smoking and environmental factors, not obesity.
B. Gastroesophageal reflux disease: This is correct. Obesity increases the risk of GERD due to increased intra-abdominal pressure.
C. Diabetes insipidus is related to ADH deficiency and not associated with obesity.
D. Rheumatoid arthritis is an autoimmune disorder and is not directly linked to obesity.

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A nurse is caring for a client who reports feeling spiritual distress because his prescribed treatment plan conflicts with his religion. Which of the following actions should the nurse take first?

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