The nurse manager would determine that a nurse understands culturally sensitive care if which statements are made?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. "Since all of our clients have the same illnesses, I sometimes get bored."
B. "I have been helping my client understand how to choose foods from our diet menu."
C. "I am concerned because my client needs sterile dressing changes but has no running water at home."
D. "My client and I worked out a way to get her medications delivered to her at home."
E. "I invited a group from my church to come and sing hymns for our clients."
Answer: D
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A nurse is caring for an adult patient requiring mechanical ventilation. While caring for this patient, the nurse should:
A) Keep the patient in a low-Fowler's position. B) Perform tracheostomy care at least every 12 hours. C) Keep the patient on bed rest continually. D) Monitor cuff pressure every 8 hours.
The nurse identifies the "LUBB" sound of the "LUBB/DUBB" of the cardiac cycle as the sound of the:
a. AV valves closing. b. closure of the semilunar valves. c. contraction of the papillary muscles. d. contraction of the ventricles.
The nurse has found the patient with delirium in other patients' rooms several times. The best action by the nurse would be to:
1. firmly tell the patient that he must stay out of other patients' rooms and tell him to return to his room. 2. take him back to his room and put him in bed with the side rails up. 3. take him to the nurses' station and let him "visit" for a while. 4. administer a dose of Ativan (lorazepam) as ordered.