The nurse is providing care to a 19-year-old woman and asks her if she will be taking medication to help with her mental health condition
She tells the nurse that she has to check with her father before she decides to take medication. In what culture do men typically have significant authority over family decisions?
A) Pacific Islander
B) Black American
C) Hispanic
D) Eastern European
Ans: A
Feedback:
When working with Asian/Pacific Island families, recognizing the role of the father is important. These men historically have had total authority over family decisions.
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A 6-year-old child is admitted after being in a fire at school. The physician plans to perform a bronchoscopy to assess for airway damage. Which nursing action is the priority for this child?
A. Document any teaching done in the child's chart. B. Let the child perform the procedure on a doll. C. Obtain written consent from the parent/guardian. D. Tell the child he or she won't remember the procedure.
A client with a cardiac arrhythmia has a serum glucose level of 239 mg/dL. Which finding should the nurse expect when assessing this client? (Select all that apply.)
a. Hypokalemia b. Hypocalcemia c. Hypernatremia d. Muscle weakness e. Minimal intake of fresh fruits and vegetables
The client with a cold has experienced perforation of both tympanic membranes in response to blowing his nose vigorously. He asks his nurse if his hearing will be affected permanently. What should be the nurse's response?
A. "Usually the tympanic membrane heals spontaneously in 1 to 2 weeks. Any per-sistent hearing problem should be evaluated." B. "No, antibiotics will help resolve the infection and cure your hearing impairment." C. "Yes, and it will be important for you to learn to lip read or use sign language as soon as possible." D. "Yes, any time the eardrum is ruptured it will form a scar and cause some degree of permanent hearing loss."
A patient with congestive heart failure and pulmonary edema is experiencing chest pain. The patient has an order for morphine sulfate IV 4 mg every 5 to 30 minutes PRN until chest pain is relieved
The last dose of 4 mg was 15 minutes prior, and the patient is complaining of chest pain and exhibiting increased work of breathing. The nurse notes a heart rate of 82 beats per minute, a respiratory rate of 18 breaths per minute, and a blood pressure of 135/88 mm Hg. What will the nurse do next? a. Administer morphine sulfate IV 4 mg over 1 to 5 minutes. b. Administer naloxone (Narcan) to reverse respiratory depression. c. Request an order for morphine sulfate IV 2 mg over 1 to 5 minutes. d. Hold the next dose and notify the provider of the patient's symptoms.