The nurse is admitting Mr. Parks, a client who is seeking treatment for alcoholism. Mr. Parks tells the nurse that the last time he had any alcohol to drink was at 10:00 AM this morning before he left for the hospital. Mr
Parks should be closely monitored for alcohol withdrawal syndrome. The nurse knows to observe Mr. Parks for elevated pulse, mild anxiety, and hand tremors as indicators that Mr. Parks is entering stage I (mild) of alcohol withdrawal syndrome. In terms of diaphoresis, what should the nurse be watching for that would also indicate that Mr. Parks is entering stage I?
A) Slight diaphoresis
B) Obvious diaphoresis
C) Marked diaphoresis
D) Absence of diaphoresis
C
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While seeing a patient from a different culture in the home, the nurse notes that family members are not eating foods from one food group. The patient states that this is because abstinence from the food item must occur for 40 days. What cultural phenomena did the nurse witness in this patient's home?
A. Biological variation B. Environmental control C. Social organization D. Communication
A patient has been prescribed isoniazid (INH) and rifampin for the treatment of tuberculosis
The nurse should instruct the patient to report which physical changes associated with this therapy? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Fever 2. Yellow tint to the skin 3. Discoloration of tears 4. Visual disturbances 5. Loss of appetite
Which action by the nurse is most appropriate when performing the Barlow-Ortolani maneuver to assess for congenital hip dislocation on a 2-week-old newborn?
1) Placing the first two fingers over the greater trochanter and the thumb over the inner thighs 2) Placing two thumbs on the shaft of the femur 3) Rotating each joint in a clockwise motion 4) Placing the first two fingers on the symphysis pubis and the thumbs over the lesser trochanter
MC The most important facet to developing cultural competence is for the nurse to
A. Gain proficiency in another language beyond English. B. Understand the culture of the client. C. Understand and recognize the nurse's own cultural background. D. Identify the goals for culturally competent care.