The nurse caring for a patient without any religious affiliation who was admitted 2 days ago with a severe gastrointestinal infection encounters the hospital chaplain who wants to pray with the patient. The most appropriate response by the nurse is:

"I don’t think the patient wants any religious interventions."

"That is a wonderful idea. I am sure that the patient will find comfort in that."

"I need to get an order from the doctor."

"Before you do that, we need to get the patient’s permission."

Answer and Explanation

The Correct Answer is D

Choice A reason: Assuming patient preference lacks evidence; without asking, this dismisses autonomy, potentially misrepresenting the patient’s comfort with spiritual interventions.

Choice B reason: Endorsing without consent is inappropriate; the patient’s lack of affiliation suggests possible rejection, and this risks imposing unwanted religious activity.

Choice C reason: Doctor’s order isn’t required; prayer is a chaplain’s role, not medical, but patient consent is still needed, making this an unnecessary step.

Choice D reason: Permission respects autonomy; without religious affiliation, the patient may decline, and consent ensures ethical care aligned with individual beliefs.

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Correct Answer is D

Explanation

Choice A reason: PRN is as needed; EKGs here are routine, not symptom-driven, making this inapplicable to a standard admission protocol for all patients.

Choice B reason: One-time is a single event; this order applies to all admissions ongoing, not a one-off, distinguishing it from limited-duration directives.

Choice C reason: STAT is immediate; routine EKGs aren’t urgent, occurring as part of standard care, not requiring the priority of acute intervention orders.

Choice D reason: Standing orders apply automatically to all qualifying patients; this EKG protocol fits, ensuring consistent cardiac assessment unless overridden.

A. Check the patient's identification number on the wristband. B. Check the patient's name on the wristband and compare it with the MAR. C. Check the name and hospital number on the wristband and compare them to the MAR. D. Call each patient by his given name, ask for his birthday, and compare with the MAR.

Correct Answer is C

Explanation

Choice A reason: An ID number alone lacks context; without name confirmation, it risks mismatching if wristbands are swapped, missing a critical identity check.

Choice B reason: Name alone may coincide with common names; without a unique identifier like a hospital number, this method risks errors in a busy unit.

Choice C reason: Name and hospital number provide dual identifiers; this matches the MAR precisely, ensuring accuracy for an unconscious patient per safety standards.

Choice D reason: Calling an unconscious patient is futile; they can’t respond, making this impractical and unreliable compared to objective wristband verification.

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The nurse caring for a patient without any religious affiliation who was admitted 2 days ago with a severe gastrointestinal infection encounters the hospital chaplain who wants to pray with the patient. The most appropriate response by the nurse is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The patient is admitted to the cardiac unit. Everyone admitted to the cardiac unit will have an EKG done unless otherwise ordered. This is an example of which type of order?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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