The nurse is developing a plan of care for a patient of Aleut descent who sustained a hip fracture. Which intervention by the nurse recognizes the patient's indigenous healthcare system and should be included in the plan of care?
a. Asking the family to bring in medals and amulets
b. Scheduling a visit from the local shaman
c. Providing the patient with her favorite herbal tea
d. Requesting that the physician consult the patient's acupuncturist
B
For the patient of Aleut descent, contacting the shaman and scheduling a visit with the patient might be helpful in recovery. Patients of Hispanic descent might benefit from herbal tea, medals, and amulets brought in by the family. However, it is important to check with the physician before administering any herbal preparations that might interfere with prescribed medications. Asians and Pacific Islanders might benefit from a visit by the acupuncturist.
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A nurse is auscultating an older patient's heart and notes a systolic murmur (heard between the S1 and S2 heart sounds. The first action by the nurse is to:
a. question the patient about the presence of the murmur. b. note it in the chart as this is always a nor-mal finding for an older adult. c. contact the medical provider as this is an abnormal finding. d. immediately implement emergency inter-ventions.
Which is the recommended procedure for palpating the testicle?
1) Use the first two fingers of each hand to palpate firmly. 2) Gently palpate using the fingers of both hands. 3) Palpate firmly using the palmar surface of one hand. 4) Gently palpate using the thumb and first two fingers of one hand.
A client who is in perimenopause is having a number of severe symptoms. The nurse assesses this client and knows the doctor will likely prescribe what to assist in relieving the distress?
1. Calcium and vitamin D 2. A form of hormonal contraception 3. Prescriptive pain medication 4. Antibiotics
The nurse determines that a client diagnosed with pericarditis is demonstrating the classic signs of the Beck triad. What are the signs of the Beck triad? (Select all that apply.)
1. Fever 2. Dyspnea 3. Muffled heart sounds 4. Elevated jugular vein pressure 5. Hypotension 6. Abdominal pain