Nokea
Identify measures that the nurse should use to reduce health care disparities
- A. Use cultural competency guidelines
- B. Use a family member as the interpreter
- C. Use standardized evidence-based care guidelines
- D. Complete the health history as rapidly as possible
Correct Answer: A
Rationale: Using cultural competency guidelines, standardized evidence-based care, and incorporating racial/cultural differences in care plans helps mitigate disparities. Rushing the process or relying solely on family interpreters can worsen outcomes.
You may also like to solve these questions
A client is hospitalized with a second episode of pulmonary embolism (PE). Recent genetic testing reveals the client has an alteration in the gene CYP2C19. What action by the nurse is best?
- A. Instruct the client to eliminate all vitamin K from the diet.
- B. Prepare preoperative teaching for an inferior vena cava (IVC) filter.
- C. Refer the client to a chronic illness support group.
- D. Teach the client to use a soft-bristled toothbrush.
Correct Answer: B
Rationale: The correct answer is B: Prepare preoperative teaching for an inferior vena cava (IVC) filter. In the context of a client with an alteration in the gene CYP2C19 and recurrent pulmonary embolism, the use of an IVC filter helps prevent blood clots from traveling to the lungs. This intervention is crucial in managing the risk of further pulmonary embolism. Teaching the client about the purpose, care, and potential complications of the IVC filter is essential for their understanding and cooperation in the treatment plan.
Incorrect Choices:
A: Instruct the client to eliminate all vitamin K from the diet. This choice is not relevant to the management of recurrent pulmonary embolism associated with a genetic alteration.
C: Refer the client to a chronic illness support group. While support is important, it is not the immediate priority in this case of managing a recurrent PE.
D: Teach the client to use a soft-bristled toothbrush. This recommendation is not directly
Bob reports chest pains when performing strenuous work. The pain goes away when he sits. What is he likely to be experiencing?
- A. Indigestion.
- B. Stable angina.
- C. Unstable angina.
- D. Prinzmetal's angina.
Correct Answer: B
Rationale: Stable angina occurs during physical exertion and resolves with rest.
A patient with a history of asthma is scheduled for an appendectomy. Because of her asthma, you would include as part of the preoperative teaching the need to perform postoperatively
- A. Coughing and deep breathing exercises.
- B. Leg exercises.
- C. Wound dressing changes.
- D. All of these.
Correct Answer: A
Rationale: Deep breathing exercises help prevent postoperative complications in asthmatic patients.
A client had a hemicolectomy performed two days ago. Today, the nurse assessed the incision and discovered a small part of the abdominal viscera protruding through the incision. This complication of wound healing is known as:
- A. excoriation.
- B. dehiscence.
- C. decortication.
- D. evisceration.
Correct Answer: D
Rationale: Excoriation is an abrasion of the epidermis, or of any organ coating of the body, caused by trauma, chemicals, burns, or other causes. Dehiscence is a partial to complete separation of the wound edges with no abdominal tissue protrusion. Decortication is removal of the surface layer of an organ or structure, such as removing the fibrinous peel from the visceral pleura in thoracic surgery. Evisceration occurs when the incision separates and the contents of the cavity spill out.
At what point should a 24-year-old client without a family history of eye disease have an eye exam?
- A. Annually after the age of 30
- B. Initially, a thorough exam at the age of 40
- C. Initially, a thorough exam at the age of 50
- D. Annually after the age of 50
Correct Answer: B
Rationale: For individuals without risk factors, a baseline eye exam is recommended at age 40 to detect early signs of age-related conditions.