A nurse is admitting a 10-year-old child with Trisomy 21 (Down syndrome) of Asian descent to the pediatric inpatient unit for acute appendicitis. The nurse is gathering data regarding the cultural considerations that should be included in the plan of care. Which of the following actions by the nurse demonstrates appropriate cultural considerations for this child?
Incorporating traditional housing practices that were introduced to the nurse by another child's parents of Asian descent last month.
Assuming that since the child's parents have brought the child to a hospital that practices western medicine, traditional healing practices are not important to their culture
Asking the child's parents if they use any traditional healing practices that the healthcare team should be aware of.
Providing the same care to this child as they would provide to every other child they provide care to.
The Correct Answer is C
A. Incorporating traditional housing practices that were introduced to the nurse by another child's parents of Asian descent last month. Assuming that all families of Asian descent share the same cultural beliefs or practices ignores individual and regional differences. Each family has unique traditions and preferences that should be discussed directly with them.
B. Assuming that since the child's parents have brought the child to a hospital that practices Western medicine, traditional healing practices are not important to their culture. Seeking Western medical care does not mean that a family has abandoned their cultural beliefs or traditional healing practices. Many families integrate both Western and traditional approaches to healthcare.
C. Asking the child's parents if they use any traditional healing practices that the healthcare team should be aware of. This is the correct answer because it respects cultural diversity and allows the parents to share relevant information. Open-ended questions about cultural practices help incorporate family preferences into the child’s care while ensuring safe and effective treatment.
D. Providing the same care to this child as they would provide to every other child they provide care to. While consistent quality care is important, culturally competent care recognizes individual differences and respects each family’s beliefs and preferences. A one-size-fits-all approach fails to acknowledge cultural diversity in healthcare.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Collect data on physical examination. The first priority in managing a suspected head injury is assessing the adolescent's neurological status, airway, breathing, circulation, and level of consciousness. A physical examination helps determine the severity of the injury and guides further interventions.
B. Administer pain medication to the adolescent. While pain management is important, administering medication before assessing neurological status could mask symptoms of worsening intracranial pressure, making it difficult to monitor changes in the adolescent’s condition.
C. Notify the adolescent's primary care provider. Informing the provider is necessary, but it should be done after an initial assessment to provide accurate information about the adolescent’s condition and guide appropriate interventions.
D. Collect a detailed past medical history. While medical history is valuable, it is not the immediate priority in an emergency. The primary concern is assessing the adolescent’s current condition to determine if there are signs of increased intracranial pressure or other serious complications.
Correct Answer is ["3.8"]
Explanation
Convert the child's weight from pounds to kilograms:
Formula:
kg = lb / 2.2
= 22 lb / 2.2 lb/kg
= 10 kg
Calculate the total daily dose of dexamethasone:
Total daily dose (mg) = Dose (mg/kg/day) × Weight (kg)
= 1.5 mg/kg/day × 10 kg
= 15 mg/day
Calculate the dose to be administered every 6 hours:
Dose per interval (mg/dose) = Total daily dose (mg/day) / Number of doses per day
= 15 mg/day / 4 doses/day
= 3.75 mg/dose
Calculate the volume of dexamethasone oral solution to administer:
Volume (mL) = Dose (mg) / Concentration (mg/mL)
= 3.75 mg / 1 mg/mL
= 3.75 mL
Round to the nearest tenth:
3.75 mL rounded to the nearest tenth is 3.8 mL.
The nurse should administer 3.8 mL per dose.
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