A client from Mexico is admitted to the hospital with abdominal pain and fever. The nurse notices that the client has a red string tied around his wrist. What should the nurse do?

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Question 1 of 5

A client from Mexico is admitted to the hospital with abdominal pain and fever. The nurse notices that the client has a red string tied around his wrist. What should the nurse do?

Correct Answer: B

Rationale: The nurse should ask the client about the meaning and purpose of the string, as it may be a cultural or religious symbol or practice that is important to the client. The nurse should respect and support the client's cultural beliefs and practices, as long as they do not interfere with the medical treatment or pose a risk to safety.

Question 2 of 5

A nurse is providing discharge instructions to a client who has limited English proficiency. The client is accompanied by their adult son, who speaks both English and the client's native language. What is the best way for the nurse to ensure effective communication and education with the client?

Correct Answer: D

Rationale: The nurse should use a professional interpreter, preferably one who is trained and certified in health care, to ensure accurate, clear, and culturally appropriate communication and education with the client. A professional interpreter can also help to maintain the client's privacy, confidentiality, and dignity.

Question 3 of 5

A nurse is providing discharge teaching to a client who has type 2 diabetes mellitus and follows a vegetarian diet. Which of the following food choices should the nurse recommend as a good source of protein for the client?

Correct Answer: A

Rationale: Tofu is a good source of protein for clients who follow a vegetarian diet, as it is made from soybeans, which are high in protein and low in saturated fat and cholesterol. Tofu can also help lower blood glucose levels, as it has a low glycemic index and can improve insulin sensitivity.

Question 4 of 5

A nurse is caring for a client who is Muslim and observes Ramadan. The client is scheduled to undergo a surgical procedure in the morning. Which action by the nurse demonstrates cultural sensitivity?

Correct Answer: B

Rationale: The nurse demonstrates cultural sensitivity by informing the client that they can break their fast for medical reasons, as this is an exception that is allowed in Islam. The nurse should respect the client's religious beliefs and practices, but also provide accurate and relevant information that may affect their health and safety, especially given the surgical context requiring fasting for anesthesia safety.

Question 5 of 5

The nurse is planning care for a patient with hypertension and obesity. Which of the following is a reasonable and measurable outcome for the nursing diagnosis of noncompliance with treatment regimen related to side effects of medications?

Correct Answer: A

Rationale: A reasonable, measurable outcome specifies action and timeline (A), like stating two modifications by a date, addressing noncompliance. B is vague (compliance undefined), C lacks measurement (understanding unquantified), and D is unrealistic (BP fluctuations occur), making A appropriate.

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