The nurse is assessing an African-American client. The client is diagnosed with metabolic acidosis secondary to renal failure. Which nursing actions are culturally appropriate for this client?
Select all that apply.
A) Assessing dietary intake of sodium
B) Assessing dietary intake of potassium
C) Monitoring for cardiac dysrhythmias
D) Planning care based on the noncompliance that is often associated with this ethnic group
E) Telling the client that ethnic foods must be avoided
Answer: A, B, C
A) The nurse must assess the client's dietary intake of sodium in order to plan dietary teaching that is culturally-appropriate for this client.
B) The nurse must assess the client's dietary intake of potassium in order to plan dietary teaching that is culturally-appropriate for this client.
C) Metabolic acidosis can often cause cardiac dysrhythmias; therefore, it is appropriate for the nurse to monitor this client for this manifestation.
D) The nurse should plan individualized care for this client based on the nursing assessment.
E) While some ethnic foods may not be appropriate for the client, the nurse should assess which foods are consumed and then provide education regarding dietary intake that is appropriate.
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