The nurse is preparing to perform an assessment on a newly admitted patient. Which of the following questions should be included to consider the cultural needs of the patient?
1. family medical history
2. who lives in the home
3. current age
4. race
4
Rationale: The cultural assessment will include information such as race, gender and sexual orientation. The family medical history, living arrangements and age are a part of a comprehensive data collection but do not reflect cultural information.
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A preadolescent client is recovering from spinal fusion surgery for scoliosis. Which interventions would be appropriate related to movement restrictions and pain?
Select all that apply. A) Reposition every 2 hours. B) Monitor intake and output. C) Encourage and assist with ROM exercises every 4 hours while awake. D) Administer pain medication around the clock. E) Encourage incentive spirometer use every 4 hours while awake.
When administering nystatin liquid for treatment of thrush, which of the following administration techniques would be best?
A) Give it just prior to meals for best absorption. B) Give it mixed with orange juice to disguise the taste. C) Administer it immediately after meals. D) Administer it mixed with milk to decrease stomach irritation.
After administering an oral medication to a client, the nurse remains with the client until that client drinks at least how many mL of water to ensure that the medication reaches the stomach?
1. 10 to 20 2. 50 to 60 3. 120 to 180 4. 240 to 360
The nurse is conducting a nursing assessment of the parent and child with severe cerebral palsy during a routine clinic visit. Which nursing action is appropriate based on the current data?
1. Measuring the urine output 2. Measuring the child's head circumference 3. Observing the parent–child relationship 4. Observing how the child interacts during play