Author Question: The adult female Iranian client develops signs and symptoms of appendicitis during the night. The ... (Read 52 times)

kshipps · **on:** Jun 25, 2018

The adult female Iranian client develops signs and symptoms of appendicitis during the night. The client is brought to the emergency department by family.

Which nursing intervention is the most culturally sensitive for this client?
A) Ask the healthcare provider which one should see the client.
B) Ask for a female healthcare provider to assess the client.
C) Ask for a male healthcare provider to assess the client.
D) Explain the assessment procedure and ask the family their preference.

Question 2

The nurse is caring for a school-age client who will be discharged from the hospital after receiving a ventriculoperitonea l (VP) shunt as treatment for increased intracranial pressure (IICP).

The nurse has taught the parents to monitor the child for shunt malfunction. Which statement by the parents regarding when to notify the healthcare provider indicates that learning goals have been met?
A) If our child has a bulging soft spot, we will call the doctor.
B) If our child develops an altered level of consciousness, we will notify the doctor.
C) If we notice our child's head is expanding, we will notify the doctor.
D) If our child develops sunset eyes, it will be important to call the doctor.

pami445 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: D

Culturally competent care means collaborating with the client to determine the client's preferences for medical care. The nurse should not assume that a foreign client will want a male or female doctor. Asking the healthcare providers to decide does not include the client's wishes.

Answer to Question 2

Answer: B

An altered level of consciousness would be a symptom of shunt malfunction and increasing intracranial pressure. In most children, by age 8, the cranial suture lines have fused, and the fontanelles are closed, so a bulging soft spot, expanding head size, or sunset eyes would not be common symptoms of shunt malfunction and an increase in intracranial pressure.