The nurse is caring for a patient who has emigrated from another country. The patient is in need of abdominal surgery but seems reluctant to sign the surgical permits. What is one tactic that the nurse should use?
a. Determine the family social hierarchy.
b. Encourage the patient to sign the permits.
c. Call the physician so that surgery can be canceled.
d. Impress on the patient that her life is in jeopardy.
A
Nurses should determine the family social hierarchy as soon as possible to prevent offending patients and their families. Working with established family hierarchy prevents delays and achieves better patient outcomes. Encouraging the patient to sign against her social beliefs can cause familial strife. Explaining the level of jeopardy may create undue stress. Nurses should be able to determine the correct hierarchy and should not involve the physician at this time.
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a. Remove equipment (e.g., IV poles and tubing, feeding tubes, oxygen equipment). b. Dress the resident in a clean gown and cover him or her with a clean sheet. c. Remove dentures. d. Apply a diaper to catch draining body fluids. e. Provide privacy by drawing the curtain or moving the other resident to an unoccupied room.
The client is an adult who has received the varicella vaccine. She has a history of arthritic-related discomfort. The most important instruction that the nurse can give this client is to avoid ________ after receiving the varicella vaccine
a. alcohol for 1 month b. dark green vegetables for 6 weeks c. salicylates for 6 weeks d. vitamin C for 1 month
A nurse performing a neurological examination is testing the cochlear portion of the acoustic nerve (cranial nerve VIII). Which of the following actions does the nurse take to test this nerve?
A. Asking the client to raise his or her eyebrows and looking for symmetry B. Asking the client to clench the teeth, then palpating the masseter muscles just above the mandibular angle C. Asking the client to close the eyes and then identify light and sharp touch with a cotton ball and a pin on both sides of the face D. Asking the client to close his or her eyes and then indicate when a ticking watch is heard as the nurse brings the watch closer to the client's ear
Customs and practices that are passed from one generation to the next are
A. beliefs. B. ethics. C. traditions. D. rituals.