The nurse is admitting a client of the Muslim faith during the holy month of Ramadan. The client tells the nurse that he must fast during this time. Which response by the nurse is the most appropriate?
Fasting is harmful to your body.
You must have food during times of illness.
I will let your healthcare provider know that you need to be discharged.
What can we do to accommodate your needs during your stay here?
The Correct Answer is D
This response demonstrates respect for the client's religious beliefs and a willingness to work with the client to meet their needs. It also opens up a dialogue between the nurse and the client to develop a plan of care that is consistent with the client's beliefs and values.
Option a, "Fasting is harmful to your body," is not an appropriate response as it does not respect the client's religious beliefs and may be perceived as insensitive or disrespectful.
Option b, "You must have food during times of illness," may be accurate in some situations, but it is not relevant to the client's request to fast during Ramadan.
Option c, "I will let your healthcare provider know that you need to be discharged," is not an appropriate response as it does not address the client's request to fast during Ramadan and may be perceived as dismissive or unhelpful.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The SBAR (Situation, Background, Assessment, Recommendation) system is a standardized way of communicating critical information between healthcare professionals, particularly during patient handoffs or when escalating a concern.
The recommendation component is where the healthcare professional providing the report suggests a course of action or plan for the patient based on the situation, background, and assessment. For example, a recommendation might be, "I recommend increasing Mr. Smith's pain medication to manage his discomfort," or "I recommend a consult with the nutritionist to address Mrs. Brown's malnutrition."
Of the options provided, (a) provides the situation, (c) provides the assessment, and (d) provides a specific finding from the assessment. Option (b) is a specific recommendation or plan.
Correct Answer is B
Explanation
Pupillary response is one of the important indicators of a patient's level of consciousness (LOC). The nurse can observe the size, shape, and reaction of the patient's pupils to light. The pupils should be equal in size, round, and reactive to light. Any abnormalities in the pupils, such as unequal size or lack of reaction to light, may indicate an altered LOC and require further evaluation by a healthcare provider.
Checking turgor, observing for awake and alertness, and auscultating the temporal artery are not specific assessments for evaluating a patient's LOC. Turgor is used to assess for dehydration, observing for awake and alertness is a general assessment of the patient's mental status, and auscultating temporal artery is used to assess for temporal artery pulse.
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