Nokea
The Muslim client practicing Islam is hospitalized following surgical repair of a hip fracture. The client informs the nurse about wishing to observe Ramadan, which is occurring now. Which statement by the nurse is respectful of the client's faith beliefs?
- A. I'm going to uncover your hip and leg now to check the incision and your pulses.'
- B. A dietitian helps to plan your meals so that meat and dairy products are not together.'
- C. I've asked that physical therapy be postponed until around 3 p.m., when Ramadan ends.'
- D. I should let the care team know not to bring food or beverages from sunrise to sunset.'
Correct Answer: D
Rationale: D. During the month of Ramadan, those of the Islamic faith do not eat or drink from sunrise to sunset.
You may also like to solve these questions
What is true about absence seizures in children?
- A. For most children, absence seizures stop during early teen years.
- B. Absence seizures rarely progress to other seizures.
- C. Teachers often note signs of absence seizures, but seeing them is not adequate for diagnosis.
- D. Absence seizures usually exist in isolation; usually the child has no other neurological condition.
Correct Answer: A
Rationale: Most children outgrow absence seizures during their early teen years.
Which client symptom indicates that the nurse should discontinue the medication and notify the physician even if the client's pain is unrelieved?
- A. Vomiting
- B. Dizziness
- C. Drowsiness
- D. Headache
Correct Answer: A
Rationale: Vomiting is a sign of colchicine toxicity, requiring immediate cessation.
To minimize the extent of the damage to the spinal cord in a teen with a possible SCI, which classification of medication should the nurse expect to administer?
- A. An antibiotic
- B. An analgesic
- C. A steroid medication
- D. An antihypertensive medication
Correct Answer: C
Rationale: Steroids, such as methylprednisolone, are used acutely in SCI to reduce inflammation and swelling.
Which assessment finding warrants immediate action by the nurse when a client is in Buck's traction?
- A. The traction weights are hanging above the floor.
- B. The leg is in line with the pull of the traction.
- C. The right is about is to be the two.
- D. The rope is in the groove of the traction pulley.
Correct Answer: A
Rationale: Traction weights must hang freely to maintain proper pull. If they are above the floor (e.g., resting on something), the traction is ineffective, requiring immediate correction to ensure proper alignment and healing.
The client with DM is admitted with possible osteomyelitis secondary to an ankle wound. The client's ankle is painful, red, swollen, and warm, and the wound is persistently draining. The client's temperature is 102.2°F (39°C). Based on the client's status, which HCP order should the nurse plan to defer until later?
- A. Obtain a culture of the ankle wound.
- B. Administer ceftriaxone 1 g IV q12h.
- C. Apply splint to immobilize the ankle.
- D. Teach on IV antibiotic self-administration.
Correct Answer: D
Rationale: D. The nurse should defer teaching. Pain and an elevated temperature are barriers to learning.