The client, a Jehovah's Witness scheduled for surgery, has expressed concern that she might receive blood products, an act condemned by her religion. What is the nurse's best response?
A. "You should allow the health care professionals to do whatever is needed to save your life."
B. "If you are worried about contamination, the blood supply in this country is the safest in the world."
C. "I will have the hospital chaplain come and interpret the Bible for you to show you that there really is nothing unacceptable in a blood transfusion."
D. "Transfusions are not routine and now there are good alternatives to transfusions if you should lose an excessive amount of blood."
D
The client's rights and wishes should be respected while providing accurate information for reassurance. The health care provider should not attempt to persuade the client to go against his or her religious convictions. The consideration of religion in this instance requires that the nurse communicate to other members of the health care team the client's wishes and the need for hypervigilance for nontransfusion early interventions in response to surgical complications.
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The nursing student is caring for a patient admitted with severe anemia. The patient receives two units of packed red blood cells and tells the student, "I am feeling so much better. I'm not so tired anymore and can bathe myself."
The student reviews the patient goal "report an increase in activity tolerance" and concludes that the patient's goal has been met and adjusts the patient's plan of care. This is an example of nursing process: a. organization. b. dynamics. c. adaptability. d. collaboration.
A nurse is preparing to administer an acetaminophen suppository. For which of the following clients would a suppository be preferable to oral medication administration?
A) A client who has dysphagia following a stroke but who has a fever. B) A client who requires rapid onset of acetaminophen to treat her pain. C) A febrile client who has decreased mobility following orthopedic surgery. D) A client who has had an ostomy created following bowel surgery for cancer.
When a client who routinely takes the herb St. John's Wort (SJW) shares that their "hay fever is really bad right now," the nurse initially:
a. notifies the primary care provider that the client has been self-medicating for hay fever b. compares the client's current blood pressure to his/her baseline blood pressure c. stresses the need to avoid over-the-counter (OTC) medications containing monoamines d. suggests that the client stop taking the herb until the hay fever has improved
A patient who has severe refractory psoriasis on the face, neck, and extremities is socially withdrawn because of the appearance of the lesions. Which action should the nurse take first?
a. Discuss the possibility of enrolling in a worker-retraining program. b. Encourage the patient to volunteer to work on community projects. c. Suggest that the patient use cosmetics to cover the psoriatic lesions. d. Ask the patient to describe the impact of psoriasis on quality of life.