The nurse is providing care for a patient of the Jehovah's Witness faith. Based on the nurse's knowledge of the patient's religious beliefs, the nurse would question which of the following orders?
a. Obtain vital signs every shift
b. Regular diet as tolerated
c. Activity as tolerated
d. Infuse 1 unit packed red blood cells
ANS: D
Some interventions may be declined because of religious affiliation (e.g., blood transfusion for a Jehovah's Witness, pork-based insulin for a Muslim patient).
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A nurse is caring for a client with terminal cancer. The client asks the nurse, "What is the difference between palliative and hospice care?" What is the best response by the nurse?
A) "There is no difference between the two." B) "In palliative care, you must have a terminal illness and have less than 6 months to live. In hospice care you can be in your last stage of illness." C) "Palliative care is focused on attempting to achieve the best quality of life for a client with a serious illness. You may be in any stage of the disease. Hospice care is care and support for a client with less than 6 months to live focused so that the client may live as fully and comfortably as possible." D) "Palliative care can only take place in your home. Hospice care can take place in any care setting."
The nurse reviews laboratory results for a client with cirrhosis and finds the following: hematocrit, 72%; blood urea nitrogen (BUN), 42 mg/dL; and sodium, 166 mEq/L. Which action by the nurse is most appropriate?
a. Check the client's blood pressure and pulse. b. Increase the client's oral fluid intake. c. Call the health care provider. d. Document the results in the chart.
Which information would the nurse expect to be part of an effective initial disaster preparedness plan for a major metropolitan hospital?
1. Expect early notification of the numbers, types, and severities of casualties that can be expected. 2. The most seriously wounded victims can be expected to arrive first. 3. The initial response will be conducted by in-house staff. 4. Triage and decontamination will be conducted in the field before transport.
Afrin is an example of a decongestant sprayed into the nasal cavity to reduce ________.
Fill in the blank(s) with the appropriate word(s).