A nurse is caring for a client with a wound. Which of the following cultural considerations should the nurse consider when making the plan of care?
Food preferences when making a nutrition plan.
The time it will take to complete the dressing change.
The cost of the wound dressings.
The size of the home that the client lives in.
The Correct Answer is A
Choice A rationale
Nutrition is a fundamental pillar of wound healing, as the body requires increased protein, vitamins A and C, and zinc to repair tissues. Food preferences are deeply influenced by cultural background, religious beliefs, and traditional practices. When creating a plan of care, the nurse must incorporate culturally acceptable foods to ensure the client adheres to the nutritional requirements needed for collagen synthesis and immune function. Ignoring these preferences can lead to malnutrition and significantly delayed wound closure.
Choice B rationale
While the time it takes to complete a dressing change is a logistical concern for the nurse, it is not primarily a cultural consideration for the plan of care. While some cultures have different perceptions of time, the clinical necessity of the procedure usually dictates the schedule. The focus of cultural care should be on the client's values and beliefs rather than the nurse's time management. Therefore, this option does not address the holistic cultural needs of the patient.
Choice C rationale
The cost of wound dressings is a socioeconomic factor rather than a cultural one. While financial status affects access to care and resources, it does not reflect the values, traditions, or social norms of a specific cultural group. A nurse should definitely consider the affordability of supplies to ensure compliance, but this falls under the category of social determinants of health rather than the cultural competence required to address the client's internal belief systems or diet.
Choice D rationale
The size of the home is an environmental or socioeconomic factor that may influence the logistics of care, such as space for supplies, but it is not a cultural consideration. Cultural considerations involve aspects like family structure, communication styles, and beliefs about health and illness. Knowing the home size does not provide insight into the patient's cultural identity or how their heritage might impact their recovery process, making it less relevant than nutritional preferences in care planning.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Negligence is defined as a failure to provide the standard of care that a reasonably prudent nurse would provide in a similar situation, leading to potential harm. Metoprolol is a beta-blocker that requires monitoring of vital signs because it decreases heart rate and blood pressure. By omitting the assessment, the nurse breaches the duty of care. Normal systolic blood pressure is typically 90 to 120 mmHg, and heart rate is 60 to 100 beats per minute.
Choice B rationale
Shouting and physically snatching an object from a client represents battery or assault rather than negligence. Battery involves intentional, non-consensual physical contact, while assault involves creating an apprehension of harmful contact. While the nurse's behavior is unprofessional and violates client rights to autonomy and dignity, it is classified as an intentional tort. Negligence is usually an unintentional failure to perform a required nursing action, such as an assessment or safety check, rather than an aggressive outburst.
Choice C rationale
This action constitutes battery and a violation of the right to informed consent. Administering medications secretly after a competent client has refused is an intentional act of deception and physical violation. Ethical principles of autonomy dictate that an alert and oriented client has the absolute right to refuse any treatment. Hiding medication in food or drink is an intentional tort, which differs from negligence, where the nurse accidentally forgets a standard protocol or safety procedure.
Choice D rationale
Restraining a client against their will without a specific medical order or emergency justification constitutes false imprisonment. This is an intentional tort where a person is restricted in their personal liberty without legal authority. Negligence involves a lack of proper care or attention to detail, whereas applying restraints to a person who wants to leave is a deliberate restriction of movement. The nurse must follow strict protocols and obtain provider orders to legally apply any restrictive devices.
Correct Answer is ["700"]
Explanation
Step 1 is 0.7 g × 1000 mg/g. Final calculated answer is 700 mg.
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