A middle-aged Hispanic woman is arguing with you that she does ...

[altibaby]

A middle-aged Hispanic woman is arguing with you that she does not want to take penicillin for her infection-caused diarrhea. What is a likely explanation for this refusal?
 
  a. She considers penicillin a hot medication and diarrhea a cold disease and so believes that penicillin should not be used
  b. She considers penicillin a hot medication and diarrhea a hot disease and so believes that penicillin should not be used
  c. She does not believe in the use of antibiotics
  d. She thinks penicillin would interfere with the herbs and spices she routinely takes

Question 2

During auscultation, the LPN hears crackles in Mr. Plante's lungs. Crackles are
 
  a. From air passing through moisture and sound like hair rubbing between fingers
  b. Always pathological
  c. A whistling noise caused by air passing through a narrowed airway
  d. Often heard in adults with chronic obstructive pulmonary disease (COPD) and asthma

[ms_sulzle]

Answer to Question 1

B
Many Hispanics believe in hot and cold ideas about diseases and medications. A hot medication, such as penicillin, should not be taken to treat a hot disease, such as diarrhea. Hot diseases should be treated with cold medications and vice versa. Response A is contrary to the hot-cold belief system. Responses C and D may or may not be true. Nothing in the question addresses these issues, so they are not the best responses.

Answer to Question 2

A
Crackles are from air passing through moisture, and they sound like hair rubbing between fingers. Crackles that disappear after coughing are not pathological. Crackles are often heard in older adults with congestive heart failure or pulmonary edema. A wheeze, indicating a narrowed airway, is heard in adults with COPD and asthma.