A nurse is paying particular attention to the spiritual needs of a client today. The nurse identifies that spiritual beliefs can have a positive effect on general health of a client in which ways? Select all that apply.

Support system

Knowledge that illness is a punishment

Endurance of extreme stress

Positive emotions

Diet

Answer and Explanation

Correct Answer : A,C,D

A. Support system: Spiritual beliefs often provide a supportive community and network of individuals that can help a person navigate illness and difficult situations. A strong support system can positively influence a person's health and well-being.
B. Knowledge that illness is a punishment: This belief is typically negative and may lead to feelings of guilt or despair, which can have a detrimental effect on health. It does not support overall well-being.
C. Endurance of extreme stress: Spiritual beliefs can provide a sense of purpose and strength that helps individuals cope with stress and adversity, promoting resilience in the face of challenges.
D. Positive emotions: Spirituality can foster hope, gratitude, and a sense of peace, all of which can enhance emotional well-being and improve overall health outcomes.
E. Diet: While some spiritual beliefs may have dietary guidelines, not all spiritual practices directly influence diet in a way that enhances health. It is more common for spirituality to affect emotional and mental well-being.

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Correct Answer is C

Explanation

A. Chlordiazepoxide is a benzodiazepine used for alcohol withdrawal, but folic acid is not commonly used for managing withdrawal symptoms.
B. Promethazine is an antiemetic, and thiamine is given to prevent Wernicke's encephalopathy, but they are not primarily used to manage withdrawal symptoms.
C. Chlordiazepoxide and lorazepam are both benzodiazepines that are commonly used to manage alcohol withdrawal symptoms by calming the nervous system and preventing seizures or delirium tremens.
D. Lorazepam is appropriate, but promethazine is not typically used to treat alcohol withdrawal symptoms.

A. Remove tight clothing. B. Administer acetaminophen. C. Give salt tablets. D. Place in cool water. E. Initiate intravenous (IV) fluids.

Correct Answer is ["A","D","E"]

Explanation

A. Removing tight clothing is correct because it allows for better heat dissipation and helps cool the patient.
B. Administering acetaminophen is incorrect as acetaminophen reduces fever from infection, not from heat stroke, which requires active cooling measures.
C. Giving salt tablets is incorrect as rapid sodium replacement can cause dangerous fluid shifts; IV fluids are preferred for controlled electrolyte correction.
D. Placing in cool water is correct because immersion cooling is one of the most effective methods to lower body temperature in heat stroke.
E. Initiating IV fluids is correct as the patient likely has dehydration and electrolyte imbalances, requiring fluid resuscitation with isotonic fluids.

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A nurse is paying particular attention to the spiritual needs of a client today. The nurse identifies that spiritual beliefs can have a positive effect on general health of a client in which ways? Select all that apply.

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Naxlex Comprehensive Predictor Exams

The nurse in the ICU is caring for a client who was found unresponsive on a sidewalk. The client's blood alcohol level was three times the normal range. Which medications are commonly used for alcohol withdrawal symptoms?

Correct Answer is C

Explanation

Which action would the nurse take if the patient brought to the emergency after hiking in the desert for 2 hours is confused, reports hallucinations, and has a temperature of 104.2°F (40.1°C), dark amber urine, and a serum sodium of 128 mEq/L? (Select all that apply.)

Correct Answer is ["A","D","E"]

Explanation

An adult client with third-degree AV block is admitted to the cardiac care unit and placed on continuous cardiac monitoring. What rhythm characteristic will the ECG most likely show?

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