The nurse is caring for an Asian American client who is in the hospital for chemotherapy via central line. The nurse plans to check this client frequently for signs of impending sepsis because Asian clients:
1. Are more prone to sepsis.
2. Are poorly nourished.
3. Perceive reporting symptoms as complaining.
4. Do not respond well to chemotherapy.
3. Perceive reporting symptoms as complaining.
Rationale:
In the Asian culture, it is a sign of weakness to complain. The nurse would want to check the client frequently for signs and symptoms of impending sepsis since this client has a compromised immune system from chemotherapy and a central line. There is no evidence that Asian people are more prone to sepsis or that they are undernourished. There is also no evidence that the Asian client will respond poorly to chemotherapy.
You might also like to view...
During an annual physical, the adolescent reports typical food intake to the nurse. Which requires further assessment by the nurse?
1. "I have a salad for lunch at school." 2. "I have fried eggs and soda for breakfast." 3. "I have meat, a vegetable, and rice for dinner." 4. "I have a piece of fruit for snack."
The patient is undergoing chronic stress and has a prolonged sympathetic response. What type of drug could this patient receive to reduce the sympathetic response? (Select all that apply.)
A) A drug that reduces sympathetic response B) A drug that increases sympathetic response C) A drug that reduces parasympathetic response D) A drug that increases parasympathetic response E) A drug that reduces central nervous system (CNS) response
The nurse is preparing to administer a routine dose of phenytoin (Dilantin). The physician orders phenytoin (Dilantin) 500 mg intravenous every 6 hours. What is the best action by the nurse?
a. Administer over 2 minutes. b. Administer with 0.9% normal saline intravenous. c. Contact the physician. d. Assess cardiac rhythm.
The spinal cord–injured patient begins to have seizures, and the blood pressure rises rapidly to 210/160. Which of the following is the third indicator of the dreaded syndrome of auto-nomic dysreflexia?
1. Profuse vomiting 2. Hives on face and neck 3. Excessive urine output 4. Bradycardia