The nurse is assessing pain reported by a Latino male patient. What is important for the nurse take into consideration when observing objective data?
a. Latino men are suspicious of female caregivers.
b. Latino men have a cultural bias against use of narcotics.
c. Latino men believe pain is necessary for cure.
d. Latino men feel it is unmanly to admit to pain.
ANS: D
Many Latino men feel that to admit to being in pain is unmanly.
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The nurse receives a call from a woman who delivered her baby three days ago reporting foul-smelling lochia and a temperature of 101.2°F. The nurse instructs the new mother to:
1. Douche using a vinegar solution, and take ibuprofen every four hours. 2. Make an appointment to see the physician within the next few days. 3. Examine the breasts and look for any red, painful area. 4. Come to the office today to be examined.
A group of novice nursing students are learning how to manually measure a client's blood pressure using a stethoscope and sphygmomanometer. Which of the following statements by students would the instructor most likely need to correct?
A) "I'll inflate the cuff around 30 mm Hg above the point at which I can't palpate the client's pulse." B) "If my client's arm is too big for the cuff, I'm going to get a BP reading that's artificially low." C) "The accuracy of the whole process depends on my ability to clearly hear the Korotkoff sounds with the bell of my stethoscope." D) "With practice, my measurement of clients' blood pressures with this method will be more accurate than with automated machines."
What therapy should the nurse prepare to administer to the client in the late phase of septic shock?
A. Anticoagulation therapy B. Clotting factors, platelets, and plasma C. Corticosteroids D. Protamine sulfate
A young mother asks the nurse in a pediatric office for information about safety, diet, and immunizations for her baby. Which nursing diagnosis would be appropriate for this client?
A) Knowledge Deficit: Infant care B) Impaired Health Maintenance C) Readiness for Enhanced Parenting D) Readiness for Enhanced Coping