The female nurse is examining a Vietnamese male and notes that he will not make eye contact with her during the assessment. The client appears very uncomfortable and is sweating and flushed
Which of the following actions would be appropriate for the nurse in this situation? 1. Obtain a blood sugar reading.
2. Ask the client if he would like a male to perform the examination.
3. Assure the client that the exam will be over quickly.
4. Continue with the examination.
2
Rationale 1: Continuing the delivery of care by obtaining a blood sugar reading is inappropriate as it does not address the client's feelings of discomfort.
Rationale 2: The Vietnamese culture prefers same-sex health care providers and may be extremely uncomfortable when the nurse does not provide this. The nurse needs to gather additional data by asking the client his preferences and allowing verbalization of his discomfort.
Rationale 3: Continuing the delivery of care by offering reassurance about the examination being over quickly is inappropriate as it does not address the client's feelings of discomfort.
Rationale 4: Continuing the delivery of care by continuing the examination is inappropriate as it does not address the client's feelings of discomfort.
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A woman consulted the nurse practitioner because she had not been able to have an orgasm, despite having been sexually active for 2 years. She was very frustrated and felt it was harming the relationship with her spouse
Which nursing process evaluation of an identified patient outcome would best indicate that treatment has been successful? a. "Patient reports achieving orgasm last week; seems very happy.". b. "Reports satisfaction with sexual encounters; feels spouse is supportive.". c. "Reports achieving orgasm occasionally; relationship with spouse is ‘OK'.". d. "Patient offers no complaints related to sexual function; to return next week.".
A patient has sustained a long bone fracture and the nurse is preparing the patient's care plan. Which of the following should the nurse include in the care plan?
A) Administer vitamin D and calcium supplements as ordered. B) Monitor temperature and pulses of the affected extremity. C) Perform passive range of motion exercises as tolerated. D) Administer corticosteroids as ordered.
A notation on a client's health record notes that she has a subclinical infection. The nurse assessing this client would expect
a. clinical manifestations of the disease that are not as dramatic as usual. b. fever with no elevation in the white blood cell count. c. no systemic manifestations of disease. d. reports of fatigue and lassitude after the infection.
You are a new nurse on an orthopedic unit, and you are learning how to integrate delegation into your daily work. What might be important for you to consider to improve your delegation?
1. Organize your work and consider who is best to do what tasks and when. 2. When you delegate, do not overburden UAPs as they will work harder if they like you. 3. Recognize that your performance appraisal will depend on demonstrating that you are able to do the entire job. 4. After you delegate to UAPs, you will have minimal contact with patients UAPs are caring for.