The nurse attempting to develop a plan of care that addresses a client's spirituality should incorporate measures to address
a. broad concepts related to values, meaning, and purpose.
b. only those individual aspects of the self that the client has shared with the nurse.
c. the client's religion and the specific degree of participation in the church.
d. the personal relationship between God and the client.
A
Spirituality is a broad concept encompassing values and beliefs about meaning and purpose in life and may or may not include a specific religion.
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The nurse is caring for a patient who is very dehydrated. Which goal best indicates that the nursing diagnosis of Deficient fluid volume has been corrected and that the patient's fluid balance has been restored?
a. The patient had 1300 mL of light yellow urine in the last 24 hours. b. The patient's lung sounds are clear bilaterally. c. The patient has no jugular venous distention. d. The patient verbalizes need for adequate daily fluid intake.
A nurse is caring for a client receiving bismuth subsalicylate for the relief of diarrhea. Which of the following interventions should the nurse perform to promote an optimal response to the prescribed drug therapy?
A) Thoroughly mix and stir the drug before administering. B) Administer the drug after each loose bowel movement. C) Ensure the client receives adequate sunlight. D) Encourage the client to lightly exercise on a daily basis.
The nurse advises the mother to give fruit juices along with fruit during the baby's feedings. The purpose of this fruit juice is mainly to:
a. prevent constipation b. hydrate the baby c. enhance absorption of iron in the cereal d. minimize leaching of calcium from the body
A client on an inpatient unit is angry with a peer. During lunch, when the peer is not looking, the client spits into his soup. How would the nurse document this interaction?
A. "Client is displaying assertive behaviors." B. "Client is displaying aggressive behaviors." C. "Client is displaying passive behaviors." D. "Client is displaying passive–aggressive behaviors."