Nokea
Several cultural groups avoid direct eye contact and consider it disrespectful or aggressive. Which cultural group may not return a direct gaze?
- A. Arab
- B. Asian
- C. Hispanic
- D. Native American
Correct Answer: B
Rationale: In many Asian cultures, avoiding direct eye contact signifies respect, particularly toward authority figures or elders.
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A healthcare professional is assessing a client who has postoperative atelectasis and is hypoxic. Which of the following manifestations should the healthcare professional expect?
- A. Bradycardia
- B. Bradypnea
- C. Lethargy
- D. Intercostal retractions
Correct Answer: D
Rationale: The correct answer is D: Intercostal retractions. In postoperative atelectasis, there is a collapse of lung tissue leading to decreased oxygen exchange and hypoxia. Intercostal retractions indicate increased work of breathing as the body tries to compensate for the decreased lung function. Bradycardia and bradypnea are not typically associated with hypoxia but rather with decreased oxygen delivery to tissues. Lethargy is a nonspecific symptom and may not directly correlate with hypoxia in this scenario.
Lucinda is a 27-year-old woman with a history of asthma who is scheduled for an appendectomy later today. Due to her asthma, her preoperative teaching would include the need for postoperative:
- A. coughing and deep breathing exercises.
- B. leg exercises.
- C. wound dressing changes.
- D. all of the above.
Correct Answer: A
Rationale: Patients with asthma are at higher risk for respiratory complications postoperatively. Coughing and deep breathing exercises help prevent atelectasis and pneumonia, making them essential for this patient.
Identify the five rights of delegating nursing care (select all that apply).
- A. Right time
- B. Right task
- C. Right patient
- D. Right person
Correct Answer: B
Rationale: Effective delegation involves the right task, patient, person, circumstance, and supervision/evaluation.
When admitting a woman experiencing a spontaneous abortion at the ambulatory care center, the nurse notes that the admission form identifies the patient’s religion as Islam. What should the nurse understand about this patient?
- A. She should not receive any pork-derived products.
- B. She probably will not have purchased health insurance.
- C. Artificial contraception and abortion are prohibited.
- D. She will not be able to receive blood or blood products if an emergency develops.
Correct Answer: A
Rationale: Islamic dietary laws prohibit consumption of pork-derived products. While other options relate to Islamic beliefs, they are either incorrect assumptions or unrelated to immediate nursing care.
Mary is diagnosed with gastroesophageal reflux disease. You need to teach Mary to
- A. Avoid coffee, tea, and other caffeine-containing beverages.
- B. Take histamine 2 blockers, such as ranitidine, as directed.
- C. Avoid acidic foods such as citrus or tomato.
- D. All of the above.
Correct Answer: D
Rationale: Lifestyle modifications and medications are key in managing GERD.