When working with immigrant populations, nurses should take into account which of the following? Select all that apply
1. Their own background, beliefs, and knowledge may be significantly different from those of the people receiving care.
2. Language barriers may interfere with efforts to provide assistance.
3. Certain risk factors may be present for a given population.
4. Certain groups may use non-traditional healing practices.
ANS: 1, 2, 3, 4
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The nurse is working with a pregnant teen. In order to accurately assess the teen's nutritional intake, the nurse should:
1. Assess laboratory values. 2. Ask her to complete a 24-hour dietary recall. 3. Observe for clinical signs of malnutrition. 4. Ask about her cooking facilities.
A pregnant client's mother is worried that her daughter is not "big enough" at 20 weeks of gestation. The nurse palpates and measures the fundal height at 20 cm, which is even with the woman's umbilicus
What should the nurse report to the client and her mother? a. "The body of the uterus is at the belly button level, just where it should be at this time." b. "You're right. We'll inform the practitioner immediately." c. "When you come for next month's appointment, we'll check you again to make sure that the baby is growing." d. "Lightening has occurred, so the fundal height is lower than expected."
The nurse is providing care for the client who is to undergo a pelvic ultrasound. The nurse should instruct the client to:
1. lie on the right side. 2. empty the bladder. 3. avoid alcohol for 24 hours prior to the procedure. 4. drink extra fluids and not void prior to the procedure.
After being medicated for postoperative pain an older patient becomes agitated and combative. Since this behavior has not been previously demonstrated the nurse conducts additional assessment for which most likely condition?
1. Depression 2. Delirium 3. Drug toxicity 4. Dementia