A Native American man who lives a traditional lifestyle is scheduled to have heart surgery. The tribal chief has requested that the tribe's medicine man perform a ritual before the patient goes to surgery
The nurse's response to this request should be
A) "I'm sorry, but that will not be possible."
B) "I will need to inform the doctor and see if he will allow this."
C) "As long as the ritual does not interfere with the patient's preoperative care, it will be okay."
D) "I don't think that will help, but you have the right to perform the ritual."
C
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The nurse is caring for a client who has been on bedrest for several weeks. The nurse takes precaution when assisting the client to the chair due to the risk of
1. Hypotension 2. Hypertension 3. Orthostatic hypertension 4. Orthostatic hypotension
The daughter of an 80-year-old Spanish client reports that her mother seems not to understand what the doctor tells her about her disease and the treatment plan. She asks whether an interpreter is present when he talks to her mother
You explain that every attempt to have someone translate information to her mother is being done, but sometimes it is not possible. However, you acknowledge that this may not be effective care for this patient. To meet the national standards for Culturally and Linguistically Appropriate Services (CLAS) in healthcare, the nurse would A) continue to monitor the patient and offer explanations using common symbols. B) report the problem to the doctor. C) revise the plan of care to ensure an interpreter is present at all times. D) ask the daughter to be present whenever anyone speaks to the client.
The nurse observes abdominal breathing in a 2-year-old child. What would this finding indicate?
a. Imminent respiratory failure b. Hypoxia c. Normal respiration d. Airway obstruction
The postoperative care of a morbidly obese client is being planned. Which task best utilizes the expertise of the LPN/LVN?
a. Obtaining an oversized blood pressure cuff and a large-size bed b. Setting up a reinforced trapeze bar. c. Assisting in the planning of toileting, turning, and ambulation d. Assigning tasks to UAPs and other ancillary staff