Author Question: A patient scheduled a laparoscopy. After the procedure, the nurse instructs the patient to: 1. ... (Read 37 times)

sheilaspns · **on:** Jun 27, 2018

A patient scheduled a laparoscopy. After the procedure, the nurse instructs the patient to:

1. Stay on bed rest for 48 hours.
2. Expect to have shoulder and arm pain.
3. Purchase a rectal tube to relieve the gas.
4. Lie on her back to relieve the gas pain after the procedure.

Question 2

The nurse at an elementary school is performing TB screenings on all of the students. Permission slips were returned for all but the children of one family.

When the nurse phones to obtain permission, the parent states in clearly understandable English that permission cannot be given because the grandmother is out of town for 2 more weeks. Which cultural element is contributing to the dilemma that faces the nurse? 1. Permissible physical contact with strangers
2. Beliefs about the concepts of health and illness
3. Religion and social beliefs
4. Presence and influence of the extended family

mtmmmmmk · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

4
Rationale 1: Normal activities can be resumed 24 hours after a laparoscopy.
Rationale 2: The patient might experience shoulder and chest pain caused by gas in the abdomen, but no arm pain.
Rationale 3: Insertion of a rectal tube is not an intervention expected of the patient.
Rationale 4: Assuming a supine position might help to relieve discomfort caused by remaining gas.

Answer to Question 2

4
Rationale 1: The situation the nurse faces is not being caused by permissible contact with strangers.
Rationale 2: The situation the nurse faces is not caused by beliefs about the concepts of health and illness.
Rationale 3: The situation the nurse faces is not caused by religion and social beliefs.
Rationale 4: The presence and influence of the extended family is contributing to the situation the nurse faces. In many cultures, a family elder is a primary decision maker when it comes to health care. In this case, the parent cannot grant permission to the nurse until the parent consults the grandmother.