The nurse and the patient have the same religious affiliation. Which action will the nurse take to support the patient spiritually?

Assume that both have the same spiritual beliefs.

Skip the spiritual belief assessment.

Must use a formal assessment tool to determine patient's beliefs.

Do not impose personal values on the patient.

Answer and Explanation

The Correct Answer is D

A. Assuming that both have the same spiritual beliefs can lead to misunderstandings; individual beliefs can vary significantly even within the same affiliation.
B. Skipping the spiritual belief assessment is inappropriate as it is essential to understand the patient's unique beliefs and values to provide holistic care.
C. While a formal assessment tool can be helpful, it is not mandatory; what’s most important is engaging in a dialogue about the patient’s beliefs rather than strictly following a formal method.
D. It is crucial for the nurse to respect the patient's unique spiritual beliefs and not impose personal values, making this the most appropriate action to support the patient spiritually.

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Correct Answer is D

Explanation

A. Sequential compression devices are used to prevent deep vein thrombosis and are not relevant for assessing orthostatic hypotension.
B. Elastic stockings are used to promote venous return and prevent edema, not for measuring blood pressure.
C. A thermometer measures body temperature and does not provide information on blood pressure or orthostatic changes.
D. A blood pressure cuff is essential for assessing orthostatic hypotension. The nurse will measure blood pressure while the patient is supine, sitting, and standing to determine any significant changes that occur with position changes.

A. Remove eyewear/face shield and goggles. B. Perform hand hygiene, leave room, and close door. C. Remove gloves. D. Untie gown, allow gown to fall from shoulders, and do not touch outside of gown; dispose of properly. E. Remove mask by strings; do not touch outside of mask. F. Dispose of all contaminated supplies and equipment in designated receptacles.

Correct Answer is A,D,E,C,F,B

Explanation

A. The eyewear or face shield is typically removed first to prevent contamination of the face.

D. After eyewear is removed, the gown should be untied and removed without touching the outside to avoid contamination.

E. The mask is removed next, ensuring to only touch the strings to prevent exposure to contaminants.

C. Gloves are then removed as they are considered the most contaminated.

F. Contaminated supplies and equipment should be disposed of properly to maintain a safe environment.

B. Finally, hand hygiene is performed before leaving the room and closing the door.

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The nurse and the patient have the same religious affiliation. Which action will the nurse take to support the patient spiritually?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to assess a patient for orthostatic hypotension. Which piece of equipment will the nurse obtain to assess for this condition?

Correct Answer is D

Explanation

The nurse is caring for a patient who needs a protective environment. The nurse has provided the care needed and is now leaving the room. In which order will the nurse remove the personal protective equipment, beginning with the first step?

Correct Answer is A,D,E,C,F,B

Explanation

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