A nurse is documenting in a client's electronic medical record. Which of the following entries should the nurse use?

Ativan 1 mg IV given at 1030 following OR call

Acetaminophen 500 mg given for pain

MgSO4 infusing via IV pump

Insulin 5U administered SQ

Answer and Explanation

The Correct Answer is A

A. Ativan 1 mg IV given at 1030 following OR call. This is correct. The entry is clear and includes the medication name, dose, route, and time of administration.
B. Acetaminophen 500 mg given for pain. The entry does not specify the route of administration or the time it was given.
C. MgSO4 infusing via IV pump: This is incorrect. Abbreviations like "MgSO4" can be confusing or misinterpreted. It should be written as "magnesium sulfate."
D. Insulin 5U administered SQ: This is incorrect. The entry uses the abbreviation "U" for units, which can be misinterpreted. It should be written as "units" and specify the exact time and site of administration.

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Correct Answer is A

Explanation

A. Ask the client to describe his spiritual beliefs. This is correct. Understanding the client’s spiritual beliefs is the first step in providing appropriate and individualized care.
B. Provide available resources on spiritual care for the client. Providing resources is helpful but should follow an understanding of the client’s specific needs and beliefs.
C. Consult a dietitian to incorporate the client's religious preferences into a meal plan. This is important for comprehensive care but is not the first step in addressing spiritual distress related to treatment conflicts.
D. Offer to contact the local leader of the client's religious group. Contacting a religious leader can be supportive, but the first step should be to understand the client’s specific spiritual beliefs and concerns.

A. Keep daily cholesterol intake between 500 to 750 mg. B. Keep daily fat intake between 20% to 35% of total calories. C. Keep daily protein intake between 40% to 50% of total calories. D. Keep daily sodium intake between 2,000 to 2,500 mg.

Correct Answer is B

Explanation

A. Keep daily cholesterol intake between 500 to 750 mg. The recommended daily cholesterol intake is less than 300 mg.
B. Keep daily fat intake between 20% to 35% of total calories. This is the recommended range for fat intake according to dietary guidelines.
C. Keep daily protein intake between 40% to 50% of total calories. The recommended range for protein intake is about 10% to 35% of total calories.
D. Keep daily sodium intake between 2,000 to 2,500 mg. The recommended daily sodium intake is less than 2,300 mg, and ideally less than 1,500 mg for most adults.

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A nurse is documenting in a client's electronic medical record. Which of the following entries should the nurse use?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who reports feeling spiritual distress because his prescribed treatment plan conflicts with his religion. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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