The nurse is completing an assessment of a First Nations client. ...

[Ebrown]

The nurse is completing an assessment of a First Nations client. Recognizing the commonly seen health problems in Aboriginal peoples, the nurse observes for particular signs and symptoms of which one of the following conditions?
 
  a. Hypertension
  b. Parasitic infections
  c. Tay-Sachs disease
  d. Diabetes mellitus

Question 2

The nurse determines that the client's wound may be infected. In order to perform an aerobic wound culture, which of the following actions should the nurse take?
 
  a. Collect the superficial drainage.
  b. Collect the culture before cleansing the wound.
  c. Obtain a culturette tube and use sterile technique.
  d. Use the same technique as for collecting an anaerobic culture.

[SamMuagrove]

Answer to Question 1

D

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A Malignant hypertension is a genetic link seen in Black Canadians.
B Parasitic infections are often seen in immigrants from an area near the Nile River.
C Tay-Sachs disease is common among Ashkenazi Jews.
D Diabetes mellitus is considered to be an epidemic in progress for Canadian Aboriginal peoples. The presence of diabetes among Aboriginals is three to five times the national average, based on location, than in non-Aboriginal communities.

Answer to Question 2

C
To collect an aerobic wound culture, the nurse uses a sterile swab from a culturette tube and ster-ile technique.
The nurse never collects a wound-culture sample from old or superficial drainage. Resident col-onies of bacteria from the skin grow in superficial drainage and may not be the true causative organisms of a wound infection.
The nurse should clean the wound first with normal saline to remove skin flora, before obtaining the culture.
The nurse uses different methods of specimen collection for aerobic or anaerobic organisms.

[Ebrown]

Thank you!

[SamMuagrove]

Always glad to help...