Nokea
A 35-year-old client of Puerto Rican-American descent is diagnosed with ovarian cancer. The client states, 'I refuse both radiation and chemotherapy because they are 'hot.' The next action for the nurse to take is to
- A. document the situation in the notes
- B. report the situation to the health care provider
- C. explain the client to the child's disease
- D. ask the client to talk about concerns regarding 'hot' treatments
Correct Answer: D
Rationale: ask the client to talk about concerns regarding 'hot' treatments. The 'hot-cold' system is found among Mexican-Americans, Puerto Ricans, and other Hispanic-Latinos. Most foods, beverages, herbs, and medicines are categorized as hot or cold, which are symbolic designations and do not necessarily indicate temperature or spiciness. Care and treatment regimens can be negotiated with clients within this framework.
You may also like to solve these questions
Four clients were involved in a major highway motor vehicle accident. Which client requires priority care?
- A. Client with blood pressure of 90/70 mm Hg and deviated trachea
- B. Client with concussion who was unconscious for 5 minutes
- C. Client with grossly swollen upper thigh and blood pressure of 80/60 mm Hg
- D. Client with pain at the thoracic spine and complete paralysis of both legs
Correct Answer: A
Rationale: A deviated trachea and hypotension suggest tension pneumothorax, a life-threatening condition requiring immediate decompression to restore breathing.
The nurse is assigned to care for 4 clients. Which of the following should be assessed immediately after hearing the report?
- A. The client with asthma who is now ready for discharge
- B. The client with a peptic ulcer who has been vomiting all night
- C. The client with chronic renal failure returning from dialysis
- D. The client with pancreatitis who was admitted yesterday
Correct Answer: B
Rationale: The client with a peptic ulcer who has been vomiting all night. Persistent vomiting can lead to dehydration, electrolyte imbalances, and potential complications such as perforation or bleeding in a client with a peptic ulcer, requiring immediate assessment.
The practical nurse collaborates with the registered nurse to perform an admission assessment on a client with Alzheimer disease. Which of the following techniques are appropriate when speaking with this client? Select all that apply.
- A. Ask open-ended questions
- B. Move close to the client and speak in a loud voice
- C. Remove background noise by turning off the television
- D. Touch the client on shoulder prior to speaking
- E. Use clear and simple sentences
Correct Answer: C,D,E
Rationale: Reducing background noise (C) minimizes distractions. Touching the shoulder (D) gains attention non-verbally. Using clear, simple sentences (E) accommodates cognitive impairments in Alzheimer disease.
The nurse is reinforcing teaching with an adolescent client who has acne vulgaris. Which of the following information should the nurse reinforce? Select all that apply.
- A. A well-balanced diet can help support healthy skin.
- B. Antibacterial soap is harsh and can make your acne worse.
- C. Scrub whiteheads vigorously when washing your face twice daily.
- D. Squeezing or picking the lesions may increase the risk for infection and scarring.
- E. Use skin care products labeled as noncomedogenic to avoid clogging your skin pores.
Correct Answer: A,B,D,E
Rationale: A balanced diet (A), avoiding harsh soaps (B), not picking lesions (D), and using noncomedogenic products (E) promote skin health and prevent acne exacerbation.
The nurse enters the room of a client with dementia and observes the client grimacing while pulling at the indwelling urinary catheter. The nurse notes blood trickling from the urinary meatus and pink-tinged urine in the urinary drainage bag. It would be a priority for the nurse to
- A. obtain a urine specimen for urinalysis
- B. deflate the balloon of the urinary catheter
- C. remove the urinary catheter in a single swift motion
- D. use sterile gauze to absorb the blood around the meatus
Correct Answer: B
Rationale: Blood and grimacing suggest trauma or irritation from the catheter. Deflating the balloon allows safe removal to prevent further injury, pending provider orders.