The health care provider discusses the need for surgery with an older adult and her family
Which information about the older adult's culture is important for the nurse to collect before this discussion to facilitate the process of informed consent? a. Attitudes about ca-regiving c. Rituals for death and dying
b. Process of decision making d. Experience with discomfort
B
The nurse uses knowledge of the culture's influence on the older adult in relation to decision making to avoid unnecessary tension and misunderstanding and thus to facilitate the process of informed consent. The nurse uses the information about decision making by sharing the cultural information with the health care provider and by addressing the culturally suitable member of the family for informed consent. Caregiving is unrelated to the process of informed consent. Death and dying, although potentially relevant, is unrelated to informed consent. Relevant to surgical procedures, the older adult and family experiences with pain and discomfort are important to the pain management plan.
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A patient comes to the physician's office complaining of constipation after starting his antihyperlipidemic medication. The nurse tells the patient to take the laxative the physician has prescribed and to eat a diet high in bulk. Which is a high-bulk food
a. Potatoes b. Corn c. Bran d. Bread
The nurse is providing care for an adult patient who has a diagnosis of chronic obstructive pulmonary disease (COPD). Which of the following principles should the nurse apply when managing this patient's supplementary oxygen?
A) Supplementary oxygen should be used with caution with COPD patients in order to avoid depressing the respiratory drive. B) Room air is preferable to supplementary oxygen for COPD patients because this stimulates respiratory function. C) Supplementary oxygen should be provided to COPD patients at the highest concentration that they can comfortably tolerate. D) Supplementary oxygen is vital in the management of COPD and should never be withheld from patients who may benefit from it.
A nurse is obtaining a drug history from an older adult patient who is taking multiple medications prescribed by different providers. Which two medications taken together create a reason for concern?
a. Acetaminophen [Tylenol] and oxycodone b. Amitriptyline [Elavil] and diphenhydra-mine [Benadryl] c. Fexofenadine [Allegra] and an over-the-counter laxative d. Zolpidem [Ambien] and sertraline [Zoloft]
While seeing a patient from a different culture in the home, the nurse notes that family members are not eating foods from one food group. The patient states this is because abstinence from the food item must occur for 40 days. What cultural phenomena did the nurse witness in this patient's home?
1. Biological variation 2. Environmental control 3. Social organization 4. Communication