What cultural elements should a nurse ask about or observe when performing a cultural assessment on a client?
- A. Health beliefs,dietary preferences and communication styles.
- B. Only health beliefs.
- C. Only dietary preferences.
- D. Only communication styles.
Correct Answer: A
Rationale: Comprehensive cultural assessments include health beliefs, dietary preferences, and communication styles to tailor care appropriately.
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On the first postoperative day following a bowel resection, the patient complains of abdominal and incisional pain rated 9 on a scale of 0 to 10. Postoperative orders include morphine, 4 mg IV q2 hr, for pain and may repeat morphine, 4 mg IV, for breakthrough pain. The nurse determines that it has been only 2 hours since the last dose of morphine and wants to wait a little longer. What effect does the nurse’s action have on the patient?
- A. Protects the patient from addiction and toxic effects of the drug
- B. Prevents hastening or causing a patient’s death from respiratory dysfunction
- C. Contributes to unnecessary suffering and physical and psychosocial dysfunction
- D. Indicates that the nurse understands the adage of “start low and go slow” in administering analgesics
Correct Answer: C
Rationale: The correct answer is C. Delaying pain relief contributes to unnecessary suffering and can negatively impact recovery.
At the end of the surgical procedure, the perioperative nurse evaluates the patient's response to the nursing care delivered during the perioperative period. What reflects a positive outcome related to the patient's physical status?
- A. The patient's right to privacy is maintained.
- B. The patient's care is consistent with the perioperative plan of care.
- C. The patient receives consistent and comparable care regardless of the setting.
- D. The patient's respiratory function is consistent with or improved from baseline levels established preoperatively.
Correct Answer: D
Rationale: Improved or consistent respiratory function indicates effective perioperative care.
In which direction does the nurse hold the syringe when irrigating the ear to remove wax?
- A. Toward the roof of the canal
- B. Toward the eardrum
- C. Toward the nasal cavity
- D. Toward the helix
Correct Answer: A
Rationale: Directing the stream toward the roof of the canal helps dislodge wax without damaging the eardrum.
Differentiate between the various types of bipolar disorder.
- A. High blood pressure
- B. Increased heart rate
- C. Decreased oxygen supply
- D. Muscle relaxation
Correct Answer: A
Rationale: The correct answer is A because it is the most appropriate response based on physiological and medical principles.
What is the primary symptom of Bell’s palsy?
- A. Facial drooping
- B. Hearing loss
- C. Eye pain
- D. Tinnitus
Correct Answer: A
Rationale: Bell’s palsy is characterized by sudden onset of unilateral facial drooping due to cranial nerve VII dysfunction.