What is the first step in a cultural assessment?
A. Admit publicly that you are a racist and sexist.
B. Ask each client with which culture he or she identifies.
C. Establish rapport and a trust relationship before attempting to collect data.
D. Use an appropriate tool to collect data from your clients.
ANS: C
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The nurse is caring for a client with a chest tube after a coronary artery bypass graft. The drainage slows significantly. What action by the nurse is most important?
a. Increase the setting on the suction. b. Notify the provider immediately. c. Re-position the chest tube. d. Take the tubing apart to assess for clots.
The nurse is caring for a patient who received a new diagnosis of cancer. The patient exhibits signs of a sympathetic stress reaction
What signs and symptoms will the nurse assess in this patient consistent with an acute reaction to stress? (Select all that apply.) A) Profuse sweating B) Fast heart rate C) Rapid breathing D) Hypotension E) Inability to interact with others
Following a cardiothoracic surgery, where controlled therapeutic hypothermia was utilized to decrease metabolic demands,
the nurse responsible for recovering this patient should be assessing for which of the following potential complications to cold cardioplegia? A) Development of a first-degree AV block B) Vasoconstriction resulting in weak pedal pulses, requiring the use of a Doppler C) Frequent premature ventricular contractions (PVCs) on the telemetry monitor D) Cyanosis in lower extremities with no blanching in the toes
After four nurses retire, the small hospital has insufficient nurses to staff the hospital 24 hours a day, seven days per week. A nursing assistant begins to assume many nursing activities to help with the staffing problem
Who is breaking the law in this case? 1. Both the nursing assistant and the hospital. 2. The hospital, but not the nursing assistant. 3. The nursing assistant, but not the hospital. 4. Neither the nursing assistant nor the hospital.