The nurse is caring for a client from another culture who refused morning care. Possible cultural influences on the client include: Standard Text: Select all that apply
1. Religious practices.
2. Growing up in an area with little water.
3. Need for privacy.
4. Need for assistance.
5. Client's age.
2,3
Rationale: Religious practices might prohibit bathing at certain times of the month, or might include ceremonial washings.
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The nurse caring for a child who is sedated, unconscious, and on a mechanical ventilator can expect to include which of the following nursing interventions in the nursing care plan?
1. Active range of motion (ROM) exercises 2. Maintenance of intravenous (IV) hydration 3. Out-of-bed transfer to wheelchair 4. Whirlpool baths
A rape victim tells the emergency room nurse, "I feel so dirty. Help me take a shower before the doctor examines me.". The nurse should:
a. arrange for the patient to shower. b. explain that bathing would destroy evidence. c. give the patient a basin of water and towels. d. explain that bathing facilities are not available in the emergency department.
Information about a client's past, present, or future physical or psychological condition falls under protected health information
Indicate whether this statement is true or false.
A child weighing 18.2 kg with a history of diabetes insipidus (DI) has been admitted to the hospital. Which healthcare provider prescription should the nurse question?
1. Stat electrolytes 2. Urine specific gravity with each void 3. DDAVP (desmopressin) PO 4. Restrict oral fluids to 500 mL every 24 hours