A nurse is developing a plan of care for a patient who practices Islam. Which of the following actions should the nurse include in the plan?

Serve foods that have a hot/cold balance.

Remove tea and coffee from meal trays.

Serve milk products separately from meals.

Request a meal tray without pork.

Answer and Explanation

The Correct Answer is D

When caring for a patient who practices Islam, the nurse should request a meal tray without pork. Dietary laws in Islam, known as halal, prohibit the consumption of pork.

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Correct Answer is A

Explanation

Choice A rationale

Hyperventilation is a potential treatment for brain herniation. Hyperventilation causes a decrease in carbon dioxide levels in the blood, leading to vasoconstriction of the cerebral blood vessels. This reduces cerebral blood flow and decreases intracranial pressure, which can help in the management of brain herniation.

Choice B rationale

Decreasing sedation is not typically a treatment for brain herniation. Sedation can be used in the management of increased intracranial pressure, but it is not a direct treatment for brain herniation.

Choice C rationale

Reducing the temperature in the room is not a direct treatment for brain herniation. While temperature control is important in the overall management of a patient with brain injury, it does not directly treat brain herniation.

Choice D rationale

Lowering blood pressure is not a direct treatment for brain herniation. While maintaining optimal blood pressure is important in the management of brain injury, aggressive lowering of blood pressure is not typically done as it could compromise cerebral perfusion.

A. Two nurses lift the patient under the shoulders. B. One nurse lifts while the patient pushes with his feet. C. Two nurses use a device to reduce friction. D. One nurse lifts the patient’s legs as the patient uses a trapeze bar.

Correct Answer is C

Explanation

Choice A rationale

Lifting a patient under the shoulders by two nurses can be strenuous and may not provide adequate support for a patient who can only partially assist.

Choice B rationale

While this method may work for some patients, it relies heavily on the patient’s strength and ability to push with their feet. If the patient is weak or unable to exert enough force, this method could be unsafe.

Choice C rationale

Using a device to reduce friction is the most appropriate technique when shifting a patient who can only partially assist. Devices such as slide sheets or transfer boards can help move the patient smoothly and with less physical strain on the healthcare provider.

Choice D rationale

Lifting the patient’s legs while the patient uses a trapeze bar requires significant upper body strength from the patient and may not be feasible for all patients.

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A nurse is developing a plan of care for a patient who practices Islam. Which of the following actions should the nurse include in the plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a group of nursing students about brain herniation.Which of the following interventions should the nurse include as a potential treatment for brain herniation?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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