The female nurse is examining a Vietnamese male and notes that he will not make eye contact with her during the assessment
The client appears very uncomfortable and is sweating and flushed. Which action by the nurse would be appropriate in this situation?
1. Obtain a blood sugar reading.
2. Ask the client if he would like a male to perform the examination.
3. Assure the client that the exam will be over quickly.
4. Continue with the examination.
Correct Answer: 2
The Vietnamese culture prefers same-sex health care providers and the client may be extremely uncomfortable when the nurse does not provide this. The nurse needs to gather additional data by asking the client his preferences and allowing verbalization of his discomfort. Continuing the delivery of care by obtaining a blood sugar reading, offering reassurance about the examination being over quickly, or continuing the examination are all inappropriate as they do not address the client's feelings of discomfort.
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