The nurse is admitting a Mexican woman scheduled for a cholecystectomy. The nurse uses a cultural assessment tool during the admission. Which question would be most important for the nurse to ask?
1. "What other treatments have you used for your abdominal pain?"
2. "What is your country of origin; where were you were born?"
3. "When you talk to family members, how close do you stand?"
4. "How would you describe your role within your family?"
Correct Answer: 1
Rationale 1: This question is most important because some traditional or folk remedies include the use of herbs. Because some herbs have medication interactions, this physiologic question is imperative to ask.
Rationale 2: Although this information is helpful, it is not a physiological issue. Asking about other treatments is a higher priority.
Rationale 3: Although understanding the patient's perception of appropriate personal space is helpful, it is not a physiological issue. Asking about other treatments is a higher priority.
Rationale 4: Although understanding the patient's family roles is helpful, it is not a physiological issue. Asking about other treatments is a higher priority.
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A patient scheduled for a laparoscopic cholecystectomy in 4 days asks how pain can be controlled until the surgery. How should the nurse respond?
1. "You will feel better if you sit in a recliner and drink water and try not to eat anything. Do not eat any fat." 2. "You will feel better if you rest in bed and do not eat anything until the procedure. Drink only water and milk." 3. "You will feel better if you alternate lying on your back and lying on your abdomen. You may eat anything except fatty food." 4. "You will feel better if you walk as frequently as possible. You may drink coffee, but not soda."
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1. The client's facial features and body posture. 2. How fast the client enters the facility. 3. The client's clothing. 4. The client's speech.
The nurse has completed the Braden Risk Assessment Scale on a client who has been diagnosed with a pelvic fracture and has not been able to get out of bed for the last 6 days. This morning the client's score is 10, so the nurse will institute which measures that will help prevent further skin injury? Select all that apply.
A. Bathe the client every day. B. Use tepid water when bathing the client. C. Position the client to allow the heels to hang over the bed. D. Elevate the client's head 45 degrees. E. Increase the humidity in the client's room.