Which of the following is the least effect means of administering culturally competent care?
1. understanding that each person is a product of experiences, beliefs, and values
2. projecting personal cultural uniqueness and worldview onto the client
3. learning about the major characteristics of predominant cultural groups
4. focusing on culture-specific values, beliefs, and practices
ANS: 2
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The nurse is caring for a patient with a pulmonary artery catheter
Assessment findings include a blood pressure of 85/40 mm Hg, heart rate of 125 beats/min, respiratory rate 35 breaths/min, and arterial oxygen saturation (SpO2) of 90% on a 50% venturi mask. Hemodynamic values include a cardiac output (CO) of 1.0 L/min, central venous pressure (CVP) of 1 mm Hg, and a pulmonary artery occlusion pressure (PAOP) of 3 mm Hg. The nurse questions which of the following physician's order? a. Titrate supplemental oxygen to achieve a SpO2 > 94%. b. Infuse 500 mL 0.9% normal saline over 1 hour. c. Obtain arterial blood gas and serum electrolytes. d. Administer furosemide (Lasix) 20 mg intravenously.
While inspecting a 5-year-old child's ears, the nurse notes that the right pinna protrudes outward and that there is a mass behind the right ear. In light of these findings, which vital-sign parameter would the nurse assess on priority?
1. Temperature 2. Heart rate 3. Respirations 4. Blood pressure
The nurse is reading the laboratory results for a client who is diagnosed with metabolic alkalosis secondary to excessive antacid administration. Which of the following describes this condition?
A) HCO3–> ± 26 mEq/L B) ¯ CO2< 35 C) ¯ HCO3–< ± 22 mEq/L D) CO2> 45
Which intervention is appropriate for a client receiving palliative care? Choose all that apply
a. Surgical insertion of a device to decrease the workload of the heart in a patient awaiting heart transplantation b. Administering IV dopamine to raise blood pressure of a patient with end-stage lung cancer c. Providing moisturizing eye drops to an unconscious patient whose eyes are dry d. Administering a medication to relieve the nausea of a patient with end-stage leukemia