Author Question: The nurse is assigned to collect data from a Hispanic-American client during the hospital admission. ... (Read 53 times)

captainjonesify · **on:** Jul 22, 2018

The nurse is assigned to collect data from a Hispanic-American client during the hospital admission. When meeting the client, the nurse should plan to do which of the following?

1. Avoid touching the client.
2. Greet the client with a handshake.
3. Smile and use humor throughout the entire admission process.
4. Avoid any affirmative nods during the conversations with the client.

Question 2

A client with a history of angina pectoris complains of substernal chest pain. The nurse checks the client's blood pressure and administers nitroglycerin, gr 1/4 sublingually. Five minutes later, the client is still experiencing chest pain.

If the blood pressure is still stable, the nurse should take which of the following actions next? 1. Administer another nitroglycerin tablet.
2. Administer 10 L of oxygen via nasal cannula.
3. Call for a 12-lead electrocardiogram (ECG) to be performed.
4. Wait an additional 5 minutes, then give a second nitroglycerin tablet.

Tonyam972 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

2

Rationale: To demonstrate respect, compassion, and understanding, health care providers should greet Hispanic-American clients with a handshake. On establishing rapport, providers may further demonstrate approval and respect through touch, smiling, and affirmative nods of the head. Given the diversity of dialects and the nuances of language, culturally congruent use of humor is difficult to accomplish and therefore should be avoided.

Answer to Question 2

1

Rationale: Nitroglycerin tablets are usually prescribed one every 5 minutes PRN for chest pain, up to a total dose of three tablets. The nurse should administer the second tablet. The client with known angina pectoris should have low-flow oxygen at a rate of 1 to 3 L/min via nasal cannula. A 12-lead ECG would be done if prescribed by standing protocol or by individual physician prescription.