To plan culturally competent care, a nurse should consider that:

Clients from most cultures will be receptive to a scientific perspective.

Assigning clients to specific cultural categories facilitates communication.

Disease and illness are not necessarily influenced by culture.

The meaning of behavior can vary widely across cultures.

Answer and Explanation

The Correct Answer is D

A.   While some clients may be receptive to a scientific perspective, cultural beliefs and practices can significantly influence health-related decisions and behaviors.
B.   Assigning clients to specific cultural categories can lead to stereotyping and may not account for the individual variations within a cultural group.
C.   Disease and illness can indeed be influenced by cultural factors, including beliefs about health and healing practices.

D.   The meaning of behavior can vary widely across cultures, and understanding the cultural context is crucial for providing culturally competent care.

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Correct Answer is D

Explanation

A. The two-point gait requires partial weight-bearing on both legs, making it unsuitable for a client who can only bear weight on one leg.
B. The four-point gait also requires weight-bearing on both legs and provides maximum stability, but it is not appropriate for a client who can bear weight on only one leg.
C. The swing-through gait is generally used by clients with paralysis of the legs or for those who need to use both legs minimally while moving with crutches. It is not the most suitable option for a client with weight-bearing restrictions on one leg.
D. The three-point gait is the correct technique for a client who can bear weight on only one leg. In this gait, both crutches and the affected leg are moved forward together, followed by the weight-bearing leg. This method allows the client to ambulate safely while maintaining the non-weight-bearing leg off the ground.

A. Position the client for secretion drainage by gravity. B. Schedule postural drainage following meals. C. Give the client a bronchodilator immediately after the procedure. D. Instruct the client regarding the importance of fluid restrictions.

Correct Answer is A

Explanation

A. Positioning the client for secretion drainage by gravity is a key component of postural drainage to facilitate the removal of respiratory secretions.
B. Postural drainage is typically done before meals to avoid potential nausea during the procedure.
C. Bronchodilators are often administered before postural drainage to open the airways and improve the effectiveness of the procedure.
D. Encouraging fluid intake is important to help thin respiratory secretions and promote their removal during postural drainage. Fluid restrictions are not typically indicated in this context.

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To plan culturally competent care, a nurse should consider that:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who can bear weight on only one leg how to ambulate using crutches. Which of the following crutch gaits should the nurse plan to instruct this client to use?

Correct Answer is D

Explanation

A nurse is performing postural drainage for a client. Which of the following is an appropriate intervention?

Correct Answer is A

Explanation

A nurse is assessing a client who presents to the emergency department with reports of right lower quadrant pain, nausea, and vomiting for the past 2 days. Which of the following actions should the nurse take first?

A nurse should assign which of the following tasks to an assistive personnel?

A nurse is caring for a client who requires a peripheral IV insertion. When choosing the site, which of the following is an appropriate action for the nurse to take?

A nurse on a medical-surgical unit is preparing to administer medication to a client for the first time. Which of the following client identifiers are appropriate for the nurse to use before administering the medication? (Select all that apply.)

A nurse is providing care for a client who is scheduled for a total laryngectomy. Which of the following is the nurse's priority intervention?

A nurse is preparing to insert an indwelling urinary catheter. Which of the following instructions should the nurse give the client to help ease the passage of the catheter through the urinary meatus?

A 5-year-old client is refusing to let the nurse take his blood pressure. To promote cooperation, the nurse should: