While assisting a pregnant Mexican-American woman to dress, the ...

[luvbio]

While assisting a pregnant Mexican-American woman to dress, the nurse asks about a brass key pinned to the patient's underwear. The patient says that wearing the brass key protects her un-born baby if a solar eclipse occurs.
 
  What is the nurse's best response? a. An additional way to protect your baby is by taking your vitamins.
  b. Does your religion require you to wear this brass key during pregnancy?
  c. Just how does wearing a brass key protect your baby during a solar eclipse?
  d. Your baby would be better protected by keeping all your prenatal appoint-ments.

Question 2

When are vasodilator drugs usually prescribed for heart failure?
 
  a. When angiotensin-converting enzyme (ACE) inhibitors cannot be taken
  b. When venous dilation is also needed
  c. When beta blockers are also being taken
  d. When heart failure is improving

[ergserg]

Answer to Question 1

A
This response demonstrates cultural sensitivity and respect for the patient's beliefs, but at the same time the nurse can take advantage of a teachable moment.

Answer to Question 2

A
Vasodilators act directly on the peripheral arteries, causing them to dilate, which leads to de-creased blood pressure and workload on the heart. When patients cannot take ACE inhibitors or angiotensin II receptor blockers, vasodilators are often prescribed.

[luvbio]

Excellent

[cpetit11]

TYSM