Giger and Davidhizar (2012) created an assessment model to guide nurses in exploring cultural phenomena that might affect nursing care
When using this model in the care of a patient who has had a transurethral prostate resection (TUPR), what area of care would be influenced most directly?
A) Transferring the patient from a stretcher to a bed
B) Documenting the patient's vital signs and level of consciousness
C) Administering a scheduled dose of acetaminophen
D) Explaining the rationale for continuous bladder irrigation (CBI)
Ans: D
Feedback:
Giger and Davidhizar identified communication, space, time orientation, social organization, environmental control, and biologic variations as relevant phenomena. Explaining CBI requires clear communication. Transferring a patient to a bed, administering Tylenol, or documenting are nursing responsibilities that are less directly relevant to this model.
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A nurse is field-triaging clients after an industrial accident. Which client condition should the nurse triage with a red tag?
a. Dislocated right hip and an open fracture of the right lower leg b. Large contusion to the forehead and a bloody nose c. Closed fracture of the right clavicle and arm numbness d. Multiple fractured ribs and shortness of breath
The nurse working in a women's clinic recognizes that which clients are most at risk for developing vulvovaginal candidiasis? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. Clients using antibiotics 2. Immunocompetent clients 3. Pregnant clients 4. Multiparous clients 5. Diabetic clients
A patient is laughing and talking with visitors. When you enter the room, she informs you that she is having severe pain. You will
A) do nothing, as you suspect she is just trying to get attention. B) ask the visitors to leave so the patient can rest. C) promptly inform the nurse of the patient's complaint. D) ask the patient personal questions about the pain.
Between her admission at 1500 and the next day, she receives four doses of Lortab and one
dose of acetaminophen (Tylenol). At 1300, she develops a fever of 101° F (38.3° C), and the physician writes an order to give acetaminophen (Tylenol), 650 mg PO every 4 hours for temperature over 100.5 ° F (38.1 ° C). Is there a concern with this order? What will be an ideal response?