Which topic will the nurse include when assessing family roles and organization as part of the cultural assessment process?
1) Temporal relationships
2) Taboo behaviors
3) Skin color variations
4) Diseases and conditions
ANS: 2
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A two-year-old child is placed in balanced Bryant's traction for a fractured right femur. Which finding by the nurse should be reported to the surgeon?
1. The child keeps trying to turn and lay on his belly. 2. The ropes are unequal in length. 3. The child's buttocks are resting on the bed. 4. The ace bandage wrapping the legs is wrinkled.
The nurse caring for a client who is 24 hours post-extensive abdominal surgery assesses the client's pain. The client rates the pain as a 1 on the pain scale
The client is resting quietly, vital signs are within normal limits, and the client appears comfortable. The nurse concludes which of the following about this client? 1. The client is in denial. 2. The client is experiencing no pain. 3. The client has a high pain threshold. 4. The client is not admitting to the pain experienced.
Pain control is a nursing priority in patients with acute pancreatitis because pain:
a. increases pancreatic secretions. b. is caused by decreased distention of the pancreatic capsule. c. decreases the patient's metabolism. d. is caused by dilation of the biliary system.
Signs and symptoms of dysphagia are
A. playing with food. B. sore throat and nasal drainage. C. difficulty controlling liquids in the mouth. D. taking a long time to eat meals.