A nurse is discussing health practices with the mother of a toddler who is from a different cultural background than the nurse. Which of the following statements by the mother indicates that she practices cupping?

“I insert needles into meridian lines of my child's body to help with pain relief.”

"I rub the edge of a coin lengthwise on my child's back when he is sick."

“I sometimes place a bottle containing steam against my child's skin."

"I apply petroleum jelly with garlic along my child's wrist to treat infectious disease."

Answer and Explanation

The Correct Answer is C

A. “I insert needles into meridian lines of my child's body to help with pain relief.”: Inserting needles along meridian lines describes acupuncture, a traditional practice aimed at balancing energy flow. Acupuncture does not involve suction or heated containers placed on the skin.

B. "I rub the edge of a coin lengthwise on my child's back when he is sick.": Rubbing a coin on the back refers to coining, also known as gua sha, which is used to release illness or bad energy. Coining produces linear marks rather than circular suction marks.

C. “I sometimes place a bottle containing steam against my child's skin.": Placing a heated bottle or cup against the skin creates suction as the air cools, which is characteristic of cupping therapy. Cupping commonly leaves circular marks due to localized pressure and increased blood flow.

D. "I apply petroleum jelly with garlic along my child's wrist to treat infectious disease.": Applying garlic with petroleum jelly reflects a topical folk remedy. This specific practice is not formally categorized as cupping or acupuncture

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Correct Answer is C

Explanation

A. Blood pressure 108/68 mm Hg: This blood pressure is slightly lower than average but generally within a safe range. Hydromorphone can cause hypotension, but this reading alone does not necessitate immediate intervention.

B. Respiratory rate 14/min: A respiratory rate of 14 breaths per minute is within the normal adult range (12–20/min), indicating that the client is not experiencing significant opioid-induced respiratory depression.

C. Urinary output 160 mL/8 hr: A urinary output of 160 mL over 8 hours is significantly below normal (expected >30 mL/hr). Oliguria can indicate opioid-induced urinary retention or other complications. The nurse should notify the provider for assessment and possible intervention.

D. Oxygen saturation 95%: An oxygen saturation of 95% is within normal limits for most adults and does not indicate hypoxemia. Continued monitoring is appropriate, but immediate notification is not required.

A. A toddler who has atopic dermatitis B. An only child C. A school-age child who has cerebral palsy D. A child who was conceived by in vitro fertilization

Correct Answer is C

Explanation

A. A toddler who has atopic dermatitis: Atopic dermatitis is a common chronic skin condition and does not increase the risk of child maltreatment. While it may require ongoing care, it is not associated with higher rates of abuse or neglect.

B. An only child: Being an only child is not a recognized risk factor for child maltreatment. Maltreatment risk is more closely related to caregiver stress, child vulnerability, and family dynamics rather than sibling status.

C. A school-age child who has cerebral palsy: Children with physical or developmental disabilities are at increased risk for maltreatment due to caregiver stress, dependency, and communication barriers. These children may be less able to protect themselves or report abuse, making them more vulnerable.

D. A child who was conceived by in vitro fertilization: Conception through assisted reproductive technology does not increase the risk of child maltreatment. These children are often highly desired and planned, which does not align with known risk factors for abuse or neglect.

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A nurse is discussing health practices with the mother of a toddler who is from a different cultural background than the nurse. Which of the following statements by the mother indicates that she practices cupping?

Nursing Test Bank

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