As a part of care planning, the nurse considers the client's spiritual needs. What is the Rationale for this concern?

Meeting the client's spiritual needs can help decrease suffering.

Nurses are the only health professionals who provide this type of holistic care.

Until spiritual needs are met, physical needs cannot be healed.

It is important that the nurse's idea of spirituality matches the client's ideas.

Answer and Explanation

The Correct Answer is A

A. Spiritual care is integral to holistic care. Addressing spiritual needs can provide comfort, meaning, and a sense of peace to clients, which can contribute to a reduction in suffering, both physical and emotional. Spiritual distress can exacerbate physical symptoms and affect overall well-being, so addressing these needs can lead to better outcomes.

B. While nurses play a significant role in providing holistic care, including spiritual care, they are not the sole providers. Spiritual care can be provided by chaplains, spiritual counselors, and other healthcare professionals trained in addressing spiritual needs. However, nurses often have frequent and intimate contact with patients, making them well-positioned to assess and address spiritual concerns and to collaborate with other members of the healthcare team to meet these needs.

C. While addressing spiritual needs can contribute to overall well-being and healing, physical healing does not solely depend on meeting spiritual needs. Physical healing involves medical interventions, treatments, and physiological processes. However, addressing spiritual needs can positively impact a client's emotional and psychological state, which can support the overall healing process.

D. Understanding and respecting the client's own beliefs, values, and preferences regarding spirituality is crucial. Each individual may have unique spiritual beliefs and practices that influence their health beliefs and behaviors. The nurse should approach spiritual care with cultural sensitivity and respect for diversity, ensuring that the care provided aligns with the client's beliefs and preferences.

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Correct Answer is ["16"]

Explanation

Total Volume (ml) / Rate (ml/hr) = Time (hr).

For a client receiving 2 liters of IV fluid at a rate of 125 ml/hr,

Convert liters to milliliters (since 1 liter = 1000 ml, therefore 2 liters = 2000 ml). Then, divide the total volume by the rate: 2000 ml / 125 ml/hr = 16 hours.

So, the nurse should expect the IV fluids to last for 16 hours.

A. prevent the collection of fluid in a wound. B. assess the degree of healing taking place. C. allow healing from the outside to the inside of the wound. D. help prevent the entrance of microorganisms.

Correct Answer is A

Explanation

A. The JP drain helps prevent excessive accumulation of fluid in the wound by actively draining it away. If fluid were to accumulate excessively, it could impair wound healing and increase the risk of infection.

However, the primary purpose of the JP drain is to remove fluid rather than prevent its collection altogether.

B. The JP drain does not directly assess the degree of healing. Its primary function is to drain fluid from the wound to promote healing by preventing fluid accumulation, which could hinder healing. Assessing the degree of healing typically involves visual inspection of the wound by the healthcare provider rather than relying on the drain.

C. This is not the purpose of the JP drain. Healing generally occurs by the gradual migration of cells and tissues to close the wound, which is an internal process. The JP drain assists in the healing process by preventing complications due to fluid accumulation but does not influence healing from outside to inside.

D. While the JP drain itself does not directly prevent the entrance of microorganisms into the wound, it indirectly contributes to infection prevention by removing excess fluid. Accumulated fluid can provide a medium for bacterial growth, potentially leading to infection. By draining fluid effectively, the JP drain helps maintain a cleaner wound environment, reducing the risk of infection.

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As a part of care planning, the nurse considers the client's spiritual needs. What is the Rationale for this concern?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is to receive 2 liters of IV fluid at 125 ml/hr. How long should the nurse expect the IV fluids to last? Document number of hours.

Correct Answer is ["16"]

Explanation

It is important for the nurse to ensure that the client's post-operative Jackson-Pratt device is patent because its purpose is to:

Correct Answer is A

Explanation

The newly admitted client has contractures of both lower extremities. What nursing intervention should be included in this client's plan of care?

A nurse is providing teaching for a client who is placed on a low-sodium diet. Which statement made by the client demonstrates an understanding of dietary teaching? "I will:

Which of the following assessment findings would lead the nurse to suspect the client has a venous ulcer to the right lower extremity? (SELECT ALL THAT APPLY)

The nurse is teaching a client about isometric exercise. Which activity indicates that the client understands the teaching? The client:

The nurse explains to the client that intravenous fluid administration is used to:

Which statement made by a client experiencing insomnia indicates a need for the nurse to do further teaching

The nurse, while obtaining the blood pressure reading of a client, is uncertain when the muffled sounds have ended. What is the nurse's best action at this time?