The nurse is administering care to a client group that includes individuals from four cultures. In trying to give culturally competent care, the nurse understands that the client who probably requires the least personal space is the:
1. Canadian.
2. American.
3. Latin American.
4. Briton.
ANS: 3
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Guidelines for intramuscular administration of medication in school-age children include what standard?
a. Inject medication as rapidly as possible. b. Insert needle quickly, using a dartlike motion. c. Have the child stand if at all possible and if the child is cooperative. d. Penetrate the skin immediately after cleansing the site while the skin is moist.
During an acute attack of gout, administration of colchicine is stopped when:
a. the urine turns orange. c. nausea or diarrhea occurs. b. the client's blood pressure increases. d. the client becomes drowsy.
The priority nursing diagnosis for a child with bipolar disorder who has suicidal ideas would be
1. powerlessness related to moodinstability. 2. social isolation related to disorder. 3. risk for injury related to suicidalideas. 4. impaired social interaction.
The nurse is performing an admission assessment on an adolescent who reports taking extra-strength acetaminophen (Tylenol) regularly to treat daily headaches. The nurse will notify the patient's provider and discuss an order for
a. a selective serotonin receptor agonist (SSRA). b. hydrocodone with acetaminophen for headache pain. c. liver enzyme tests. d. serum glucose testing.