Ms. Iweka, a recent Nigerian immigrant, presents to clinic complaining of general malaise and a fever of unknown origin. The culturally competent nurse will recognize that the client should be tested for:
A.
Malaria
B.
Cholera
C.
Hypertension
D.
Lactose intolerance
ANS: A
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A nurse caring for a 68-year-old patient diagnosed with mycoplasmal pneumonia observes that the patient has difficulty breathing due to copious tracheobronchial secretions. The patient should be encouraged to do which of the following?
A) Increase oral fluids unless contraindicated. B) Call the nurse for deep suctioning. C) Lie in a low-Fowler's position. D) Increase activity.
Which of the following assumptions about the family perspective will guide nursing actions?
1. Family members need full disclosure and clear explanations. 2. Family members are usually afraid of being involved in care. 3. Family confidence influences care giving. 4. Family members have rights and can make choices.
The nurse notes the previous 24-hour urine output was 950 mL, well below the normal of 1500 mL. An effective nursing order to remedy the impending dehydration would be to:
1. offer more fluids daily. 2. offer 8 ounces of juice or tea at 0800 (8 AM), 1200 (12 noon), 1600 (4 PM), and 2000 (8 PM). 3. request extra fluid on a diet tray from the kitchen. 4. place a large water pitcher at the bedside during each shift.
A client with acute respiratory distress syndrome is being mechanically ventilated with positive end-expiratory pressure (PEEP). Which of the following should the nurse do to ensure an adequate cardiac output for this client?
1. Assess level of consciousness every 4 hours 2. Limit fluids 3. Assess heart and lung sounds every shift 4. Limit moving the client