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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
Choice A reason: 60 gtts/min assumes 100 mL in 100 minutes; this underestimates the 1-hour order, delivering Levaquin too slowly, risking subtherapeutic antibiotic levels.
Choice B reason: 100 gtts/min is correct; 100 mL over 1 hour (60 min) with 60 gtts/mL equals 6000 gtts total, divided by 60 minutes matches the ordered rate.
Choice C reason: 120 gtts/min overestimates; it implies 100 mL in 50 minutes, infusing too fast, potentially causing Levaquin-related side effects like tachycardia or irritation.
Choice D reason: 200 gtts/min is excessive; 100 mL in 30 minutes doubles the rate, risking toxicity or infusion reactions, far exceeding the 1-hour prescription safely.
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