A 45-year-old female patient has just been admitted to the emergency department with severe wounds from a motor vehicle accident that killed her husband. She is conscious and aware of her husband's death and the severity of her wounds
She needs emergency surgery and is being taken to the operating room before any friends, relatives, or clergy can come to see her. She asks you to pray with her. What is the nurse's best response? a. Grab her hand and pray for her to be forgiven of her sins so she can be healed.
b. Suddenly start wondering if you are comfortable praying with patients.
c. Say, "Sorry, it's against hospital policy to pray with patients."
d. If you are comfortable, hold her hands and say a brief prayer, silently or aloud.
D
Shared prayer between a patient and nurse who share beliefs can be comforting and reassuring to the patient. There are no instances when a nurse should be forced to participate in prayer against her own religious or spiritual beliefs. It is best to allow the patient to initiate a prayer with the nurse. If the nurse is uncomfortable praying with a patient, she can politely refuse and state a preference for praying alone. Or the nurse can offer to stand silently with the patient while the patient prays. Thus, option "d" is the best response. It provides comfort and assurance to the patient. Option "a" is inappropriate because praying for her to be forgiven of her sins would be performed by a clergy, not by a nurse. Option "b" is incorrect because the nurse should have thought about this issue previously and not at the last minute, especially if she is an ER or OR nurse. Option "c" is incorrect because the nurse is not taking responsibility for her own feelings but is using hospital policy as her excuse for not praying.
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When comparing pressures obtained from the central venous pressure (CVP) versus pressures obtained from the pulmonary arterial pressure, the nurse knows that:
1. The CVP is expected to be a low pressure while the PAP is the highest pressure obtained in the pulmonary artery catheter. 2. The CVP is expected to be the highest pressure obtained in the pulmonary artery catheter while the PAP is expected to be a low pressure. 3. The CVP and the PAP pressures cannot be compared because these pressures are based on individual patients and their conditions. 4. The individual pressures obtained in the CVP and the PAP are not relevant. The pressure trends guide patient care.
A female patient will receive doxycycline to treat a sexually transmitted illness (STI). What information will the nurse include when teaching this patient about this medication?
a. Nausea and vomiting are uncommon adverse effects. b. The drug may cause possible teratogenic effects. c. Increase intake of dairy products with each dose of this medication. d. Use a backup method of contraception if taking oral contraceptives.
Which of the following positions is used to evaluate jugular vein distention in older children?
a. sitting c. lying flat b. standing d. head slightly elevated
A nurse is developing the initial care plan for a client who is prescribed a central nervous system stimulant for the treatment of ADHD. Which nursing diagnoses will most likely be a part of this care plan?
Standard Text: Select all that apply. 1. Family Processes, Interrupted 2. Development: Delayed, Risk for 3. Sleep Pattern, Disturbed 4. Gas Exchange, Impaired 5. Nutrition, Imbalanced: Less than Body Requirements