Specific culturally sensitive nursing considerations the nurse ...

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Specific culturally sensitive nursing considerations the nurse integrates into care of the pregnant patient include: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply.
 
  1. Counseling about home remedies.
  2. Discussing components of a balanced diet.
  3. Refusing to discuss birthing choices.
  4. Encouraging use of support systems.
  5. Instructing the patient to use no home remedies.

Question 2

A primigravida dilated to 5 cm has just received an epidural for pain. She complains of feeling lightheaded and dizzy within 10 minutes after the procedure. Her blood pressure was 120/80 before the procedure and is now 80/52.
 
  In addition to the bolus of fluids she has been given, which medication is preferred to increase her BP? 1. Epinephrine
  2. Terbutaline
  3. Ephedrine
  4. Epifoam

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Answer to Question 1

1,2,4
Rationale 1: The culturally sensitive nurse should find out what medications and home remedies the patient is using, and counsel the patient regarding overall effects.
Rationale 2: The culturally sensitive nurse will discuss the importance of a well-balanced diet during pregnancy with consideration of the patient's cultural beliefs and practices.
Rationale 3: The patient has a right to make birthing choices. The nurse cannot refuse to talk to the patient about them.
Rationale 4: Encouraging the use of support systems and spiritual aids that provide comfort for the mother is important in culturally sensitive care.
Rationale 5: Telling the patient not to use any home remedies is not culturally sensitive.

Answer to Question 2

3
Rationale 1: Epinephrine is used to relieve bronchospasm, or during anaphylactic reactions.
Rationale 2: Terbutaline is used as a tocolytic.
Rationale 3: Ephedrine is the medication of choice to increase maternal blood pressure.
Rationale 4: Epifoam is a topical anesthetic.

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TYSM

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Excellent