A nurse is reluctant to pray when a client requests to pray together.
Which statement by the nurse would best meet the client’s spiritual needs?

“I don’t know how to pray, but I will bring you a Bible.”.

“Wouldn’t you prefer to pray with one of your visitors?”.

“I don’t share your religious beliefs, so I cannot pray with you.”.

“I feel uncomfortable praying with you, but I will find someone who won’t feel that way.”.

Answer and Explanation

The Correct Answer is D

“I feel uncomfortable praying with you, but I will find someone who won’t feel that way.” This statement by the nurse would best meet the client’s spiritual needs because it acknowledges the nurse’s own boundaries and feelings while also respecting the client’s request and finding a way to fulfill it.

Some possible explanations for why the other choices are wrong are:

Choice A is wrong because it does not address the client’s request to pray together and it assumes that the client wants a Bible without asking.

Choice B is wrong because it implies that the nurse does not want to pray with the client and that the client’s visitors would be more suitable for this task, which could make the client feel rejected or unsupported.

Choice C is wrong because it directly rejects the client’s request and discloses the nurse’s personal beliefs, which could create a sense of disconnection or conflict between the nurse and the client.

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Correct Answer is B

Explanation

The nurse should make the statement “The client has hypoxemia after 10 minutes on a rebreather mask.” first. This is because SBAR (Situation- Background-Assessment-Recommendation) is a communication tool that helps provide essential, concise information, usually during crucial situations. The first component of SBAR is Situation, which is a concise statement of the problem.

The nurse should state the most urgent and relevant problem first, which is the client’s hypoxemia.

Choice A is wrong because it is not a clear statement of the situation.

It is vague and does not provide specific information about the client’s condition or vital signs.

It also expresses the nurse’s feeling rather than an objective assessment.

Choice C is wrong because it is part of the Assessment component of SBAR, not the Situation.

It provides numerical data about the client’s blood gas analysis, but it does not state the problem or the reason for calling the healthcare provider.

Choice D is wrong because it is part of the Background component of SBAR, not the Situation.

It provides pertinent and brief information related to the situation, such as the client’s medical history and diagnosis, but it does not state the current problem or concern.

Normal ranges for blood gas analysis are:

PaO2: 80-100 mmHg
PaCO2: 35-45 mmHg
HCO3: 22-26 mEq/L

Hypoxemia is defined as a low level of oxygen in the blood, usually below 60 mmHg.

A. Apply them safely and secure to the bed rails. B. Use to protect elderly patients from pulling out tubes and lines as soon as you place them. C. Apply them to clients who have a history of violence or a previous fall for everyone’s protection. D. Use them only as a last resort after attempting alternatives and get an order to do so.

Correct Answer is D

Explanation

Use them only as a last resort after attempting alternatives and get an order to do so. This is because restraints are used to protect persons from harming themselves or others, but they can also cause injuries, falls, and death. Therefore, they should be used only when less restrictive measures fail to protect the person or others, and only with informed consent and a doctor’s order.

Choice A is wrong because restraints should not be secured to the bed rails, but to the movable part of the bed frame out of the person’s reach.

This prevents the person from getting entangled or injured by the restraints.

Choice B is wrong because restraints should not be used for staff convenience or to control or prevent a behavior. They should be used only for the immediate physical safety of the person or others.

Choice C is wrong because restraints should not be applied to clients who have a history of violence or a previous fall for everyone’s protection. They should be used only when there is a clear and present danger of harm to the person or others.

Normal ranges for restraints are:

Check the person at least every 15 minutes
Remove restraints and meet basic needs at least every 2 hours
Apply restraints so that they are snug but allow enough room to fit one finger between the restraint and the wrist

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A nurse is reluctant to pray when a client requests to pray together. Which statement by the nurse would best meet the client’s spiritual needs?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse calls the healthcare provider using SBAR Communication. Which statement should the nurse make first?

Correct Answer is B

Explanation

When using wrist restraints, which of these statements is correct?

Correct Answer is D

Explanation

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A nurse is reluctant to pray when a client requests to pray together.
Which statement by the nurse would best meet the client’s spiritual needs?