The nurse is working with new parents who have recently immigrated to the United States. The nurse is not familiar with the family's cultural background. Which approach is most appropriate when discussing the newborn?

1. "You appear to be Muslim. Do you want your son circumcised?"
2. "Let me explain newborn care here in the U.S."
3. "Your baby is a U.S. citizen. You must be very happy about that."
4. "Could you explain your preferences regarding childrearing?"


4
Rationale 1: The nurse should avoid making assumptions about patients based on appearance.
Rationale 2: The nurse should not assume the family doesn't understand the U.S. healthcare system.
Rationale 3: This is an assumption often based on the false idea that people come to the U.S. from other countries so their babies are born here and, as citizens, are eligible for federal aid.
Rationale 4: It is best to respectfully ask questions of the family regarding preferences and practices around childbearing and childrearing.

Nursing

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The nurse administers a medication to the patient and then realizes that the medication had been discontinued. The error is immediately reported to the physician. The nurse is complying with the standards of professional performance known as:

a. Ethics. b. Socialization. c. Altruism. d. Autonomy.

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When caring for a client with an open wound, which of the following characteristics would the nurse observe if the wound heals by first intention?

A) Wound edges are directly next to each other. B) Granulation tissue needs additional time to extend across the wound. C) Wound edges have to be brought together with closure material. D) Drainage devices have to be used to promote quick healing.

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Patients who are on or who will be starting chronic corticosteroid therapy need monitoring of:

1. Serum glucose 2. Stool culture 3. Folate levels 4. Vitamin B12

Nursing

A 39-year-old male client is admitted to a detoxification unit for treatment of alcohol withdrawal. He has been on a binge and consumed nothing except beer for the past 2 weeks. He is estranged from his wife and children

Because of his alcohol use, he has also recently lost his job, which was the sole source of income for the family. His wife refuses to return home until he commits to sobriety. Which nursing diagnoses are relevant to this situation? Select all that apply. A) Risk for injury related to central nervous system (CNS) agitation B) Imbalanced nutrition related to inadequate intake C) Dysfunctional family processes related to alcoholism D) Ineffective role performance related to loss of job E) Fluid volume excess related to binge drinking

Nursing