Nokea
Cultural safety describes care that prevents cultural imposition. The nurse must be aware of and include the knowledge of which factors in providing safe cultural care for the patient?
- A. Values
- B. Culture
- C. Ethnicity
- D. Stereotyping
Correct Answer: A
Rationale: Factors like values, culture, ethnicity, acculturation, and avoiding stereotyping or ethnocentrism help ensure culturally safe care.
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A client is caring for a postoperative client on the surgical unit. The client's blood pressure was 142/76 mm Hg 30 minutes ago and is now 88/50 mm Hg. What action by the nurse is best?
- A. Call the Rapid Response Team.
- B. Document and continue to monitor.
- C. Notify the primary care provider.
- D. Repeat blood pressure measurement in 15 minutes.
Correct Answer: A
Rationale: The correct answer is A: Call the Rapid Response Team. A significant drop in blood pressure from 142/76 mm Hg to 88/50 mm Hg indicates a potential life-threatening condition like hypovolemic shock. Calling the Rapid Response Team allows for immediate assessment and intervention to stabilize the client. Other choices are incorrect because documenting and monitoring without intervention can lead to deterioration, notifying the primary care provider may cause delays in critical care, and repeating the blood pressure measurement in 15 minutes may worsen the client's condition if urgent intervention is needed.
A healthcare professional is interested in making interdisciplinary work a high priority. Which actions by the professional best demonstrate this skill? (Select ONE that does not apply)
- A. Consulting with other disciplines on client care
- B. Coordinating discharge planning for home safety
- C. Participating in comprehensive client rounding
- D. Sharing the care plans with other disciplines
Correct Answer: B
Rationale: The correct answer is B because coordinating discharge planning for home safety is not directly related to interdisciplinary work. The other choices (A, C, D) involve active collaboration and communication with different disciplines to ensure comprehensive client care. Consulting with other disciplines, participating in client rounding, and sharing care plans all demonstrate a high priority on interdisciplinary work by fostering teamwork and integration of various perspectives to enhance patient outcomes. In contrast, coordinating discharge planning for home safety is more focused on individual patient needs and safety rather than interdisciplinary collaboration.
You are reviewing the drug list of an elderly client who is on several medications prescribed by different specialists for various health problems. The client reports 'lately there has been a roaring sound in my ears.' You notify the prescriber of which medication?
- A. gentamicin sulfate (Garamycin)
- B. metoprolol (Lopressor)
- C. amoxicillin (Amoxil)
- D. warfarin (Coumadin)
Correct Answer: A
Rationale: Gentamicin is an ototoxic medication that can cause tinnitus or hearing loss, warranting notification of the prescriber.
Which physiological response is often associated with surgery-related stress?
- A. Bronchial constriction.
- B. Decreased cortisol levels.
- C. Peripheral vasodilation.
- D. Sodium and water retention.
Correct Answer: D
Rationale: Stress activates the renin-angiotensin-aldosterone system, leading to sodium and water retention.
Which of the following are the treatments of a non-severe sty?
- A. Cold compresses
- B. Warm soaks
- C. Limited sensory stimulation
- D. Incision and drainage
Correct Answer: B
Rationale: Warm soaks help reduce inflammation and promote healing of a non-severe sty.