The nurse is caring for a client who recently emigrated from a Southeast Asian country. The mother has been resting since the birth, while her sister has changed the diapers and fed the infant
What is the most likely explanation for this behavior? 1. The client is not attaching to her infant appropriately.
2. The client is not going to be a good mother, and the baby is at risk.
3. The client has no mother present to role-model behaviors.
4. The client is exhibiting normal behavior for her culture.
4
Explanation: 4. Rest, seclusion, and dietary restraint practices in many traditional non-Western cultures (South Asian groups) are designed to assist the woman and her baby during postpartum vulnerable periods.
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Which finding would indicate the need to evaluate the client for oral cancer?
1. Gingivitis 2. Presence of dental caries 3. Velvety red patch on inner cheek 4. White, curd like patches on the mucous membranes
A patient is admitted with fluid-volume deficit. Which of the following will the nurse most likely assess in this patient?
1. Blood pressure 80/60 mm Hg 2. Blood pressure 150/86 mm Hg 3. Pitting edema lower extremities 4. Respiratory rate 26 per minute
Which of the following considerations should be made when assessing a patient for the application of cold or heat therapy?
A) prolonged exposure decreases tolerance B) the neck and perineum are less sensitive to thermal change C) open tissue or abraded skin is less sensitive to thermal changes D) applications of heat or cold to large areas of the body cause systemic responses
The nurse is teaching a workshop on family disaster prevention. In the section on preparing families for what they might experience in the initial stages of a disaster, the nurse includes the information that the family will likely exhibit:
A) Increased isolation. B) Feelings of insecurity and fear. C) Group cohesiveness. D) Healthy coping skills.