A nurse encounters a young woman with her child in the community. They do not speak English, but the nurse is fluent in Spanish and is able to communicate with them in their native language
The woman is very frightened and states that she can't go back to her country because the local government will harm her and her child if she does not convert to Catholicism. The nurse takes the woman to the local immigration office to apply for what status?
A. Asylee
B. Refugee
C. Immigrant
D. Permanent Resident
ANS: A
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A client who has been taking antibiotics reports severe, watery diarrhea. About which test does the nurse teach the client?
a. Colonoscopy b. Enzyme-linked immunosorbent assay (ELISA) toxin A+B c. Ova and parasites d. Stool culture
The nurse is assessing a client with a body cast. Which assessment finding indicates a complica-tion that must be reported to the health care provider?
a. Blood pressure, 130/85 mm Hg b. Urinary output, 40 mL/hr c. Redness around the edges of the cast d. Vomiting after meals
The client at home who is using intermittent self-catheterization is concerned about the cost of sterile straight catheters. What is the nurse's best response?
A. "I will explore whether or not you qualify for money to purchase these necessary supplies." B. "Even though it is expensive, the cost of taking care of urinary tract infections would be even higher." C. "If you can treat the catheters by boiling them, you can reuse them up to 10 times each." D. "You can reuse the catheters here at home. Only clean technique, rather than ste-rile technique, is needed."
A client is being discharged home after outpatient cystoscopy. Which of the following would be significant for the client to report?
1. persistent hematuria 2. drowsiness 3. 1500 mL urine output over 24 hours 4. urinating every 4 hours