A client of Eastern Europe descent who gave birth to her third ...

[Deast7027]

A client of Eastern Europe descent who gave birth to her third child the previous shift tells the nurse that she wants to get cleaned up and have something to eat so that she can be ready to go home in the morning.
 
  Which of the following should the nurse do to assist this client? 1. Suggest that her plans to go home depend upon her physician
   2. Assist the client with self-care requests and check on when the meals will be delivered
   3. Instruct the client to pace herself and that there is no hurry rush to go home
   4. Suggest the client take advantage of the rest since she has other children at home who will also need her care

Question 2

The nurse is collecting data from a client regarding the client's current health status. The nurse determines that which statement would assist in gathering subjective data about the client?
 
  1. I see that you have bruises on your arm..
   2. Tell me why you have difficulty walking..
   3. Your skin appears to be dry..
   4. Your eyelid is red..

[polinasid]

Answer to Question 1

2. Assist the client with self-care requests and check on when the meals will be delivered

Rationale:
To provide culturally sensitive care, the nurse should assist the client with self-care requests and check on when the meals will be delivered since clients of European descent want to ambulate, shower, dress, and plan to go home quickly. The nurse should not suggest that the discharge is dependent upon the physician. Telling the client to pace herself or to take advantage of rest since she has other children at home who will also need her care does not allow for cultural differences surrounding childbirth.

Answer to Question 2

2. Tell me why you have difficulty walking..

Rationale:
Subjective data is information that the client gives the nurse regarding feelings or happenings. Asking the client to explain the client's difficulty with walking will encourage the client to give a subjective response, such as, that the client recently fell or is experiencing hip pain. Noting that the client has bruises on the skin is an objective observation by the nurse and does not require a response from the client. Noting that the client has dry skin is an objective observation by the nurse and does not require a response from the client. Noting that the client has a red eyelid is an objective observation by the nurse and does not require a response from the client.

[Deast7027]

Thank you!

[polinasid]

Always glad to help...