A patient from Southeast Asia presents to the clinic with complaints of shortness of breath. The patient says, "I tried to coin my wind illness, but it did not work.". Which assessment finding would the nurse expect?
1. The patient is wearing an amulet shaped like a dragon.
2. The patient has burns on the inside of the nose and mouth.
3. The patient is pale from blood loss.
4. The patient has small scrapes across the back and chest.
4
Rationale 1: The patient may be wearing an amulet, but probably not to treat the illness.
Rationale 2: Treating "wind illness" does not include burning the inside of the nose and mouth.
Rationale 3: There is no indication that cultural treatment for "wind illness" would cause large amounts of blood loss.
Rationale 4: Coining is a cultural practice that involves scraping the skin of the thorax with a coin or spoon. The scraping may leave lesions.
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