The nurse is caring for a client from another culture, who refused morning care. Possible cultural influences on the client include:(Select all that apply) Standard Text: Select all that apply
1. Religious practices
2. Growing up in an area with little water
3. Need for privacy
4. Need for assistance
5. Client's age
2,3
Rationale: Religious practices may prohibit bathing at certain times of the month, or include ceremonial washings
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1. Increased pulse 2. Elevated blood pressure 3. Muscle tension 4. Increased respirations
Health People 2020 (HP 2020) is a guidepost for nurses and interdisciplinary teams in community and public health. New focal areas for HP 2020 include: (Select all that apply.)
A) Adolescent health B) Diabetes C) Genomics D) Nutrition and weight status E) Social determinants of health
A 16-year-old boy is admitted as an inpatient for alcohol substance abuse. As his nurse, part of the plan of care is to assess him for any signs and symptoms of delirium tremors, including:
1. Itchy skin. 2. Hallucinations. 3. Headaches. 4. Muscle cramps.
A patient recovering from Whipple's procedure is being transferred to the medical-surgical care area. On which intervention should the nurse focus to determine if the patient is developing a complication from the surgery? Select all that apply.
A. Assisting to a standing position every 4 hours B. Turning and repositioning every 2 hours C. Assessing heart rate every 2 hours D. Measuring blood pressure every 2 hours E. Monitoring urine output every hour