Which grieving behaviors should a nurse anticipate when caring for a Southwest Navajo Indian client?
A. Celebrating the life of a deceased person with festivities and revelry
B. Not expressing grief openly and reluctance to touch a dead body
C. Holding a prayerful vigil for a week following the person's death
D. Expressing grief openly and publicly and erecting an altar in the home to honor the dead
B
The nurse should identify that a Navajo client would not express grief openly and would be reluctant to touch a dead body. Navajo Indians do not bury the body of a deceased person for 4 days after death, and they conduct a cleaning ceremony prior to burial. The dead are buried with their shoes on the wrong feet and rings on their index fingers.
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An infant with tetralogy of Fallot (TOF) is having a hypercyanotic episode ("tet" spell). Which of the following nursing interventions should the nurse implement? Select all that apply
1. Place the child in knee–chest position. 2. Draw blood for a serum hemoglobin. 3. Administer oxygen. 4. Administer morphine and propranolol intravenously as ordered. 5. Administer Benadryl as ordered.
A hospital visitor cuts herself on the arm and is bleeding profusely. What should be the immediate treatment by the nurse?
a. Call any physician and immediately send the visitor to the emergency department. b. Apply direct pressure to the arm with ste-rile dressing. c. Take the visitor's blood pressure and pulse. d. Immobilize the injured arm and send the visitor immediately to the emergency de-partment.
An elderly client recognizes the need for help with personal care at home yet does not want to move to a nursing home or assisted living facility. Which of the following can the nurse do to assist this client?
1. Suggest the client move in with adult children 2. Remind the client that physical strength will grow weaker at home until a nursing home is required 3. Recommend a personal care assistant to help with activities of daily living and self-care 4. Discuss with the physician and determine the client is unable to make decisions and must be admitted to a nursing home immediately
A 57-year-old patient is incontinent of urine following a radical retropubic prostatectomy. The nurse will plan to teach the patient
a. to restrict oral fluid intake. b. pelvic floor muscle exercises. c. to perform intermittent self-catheterization. d. the use of belladonna and opium suppositories.