During a clinical rotation, the nursing student was caring for a ...

[roselinechinyere27m]

During a clinical rotation, the nursing student was caring for a client from China who speaks English. The client was 1 day postoperative after abdominal surgery.
 
  The client silently grimaced as he moved, but smiled and was ready to complete anything the student asked him to do. What should the nurse do next?
  A) Ask the client if he is experiencing pain and complete a pain assessment
  B) Find out when the client last received pain medication
  C) Continue with daily activities because his culture refuses pain medications
  D) Provide alternative means of pain relief, which are acceptable to his culture

Question 2

The licensed practical/vocational nurse is caring for a client at the end stages of terminal cancer. Which is the best way to involve the family with the client's care?
 
  A) Encourage the family to take time away from the dying loved one to make funeral arrangements
  B) Encourage the family to leave the loved one to call any relatives or friends to visit
  C) Involve the family in providing comfort measures for the loved one
  D) Provide information about the dying process so the family may read it and ask any questions they may have

[bubulittle310@msn.cn]

Answer to Question 1

Ans: A
Feedback:
People from various cultures express pain differently. The client is showing nonverbal signs of pain grimacing with movement. The nurse should assess if the client is experiencing pain and complete the pain assessment. Assessment is always the first step in the nursing process. The nurse after completing the assessment should check the medical record to determine the last time the client received pain medication, or if he refused it. Answers C and D are incorrect because the nurse is assuming that the client will act according to stereotypes the nurse may have learned about the client's culturethat the client is stoic and will refuse pain medications, but may accept alternative means for pain relief, such as acupuncture. Often times the nurse never communicated to the client that the physician had ordered pain medication, and it is best to take it on a schedule right after surgery so that the medication will maintain a steady state and will be effective.

Answer to Question 2

Ans: C
Feedback:
The best way to involve the family of a dying client is to involve them with providing comfort measures. This will help the family to feel like they helped their loved one achieve a peaceful death. It provides an active role for the family to show their respect for the individual. The funeral arrangements can wait because it is more important for the family to visit their loved one while the client is still alive. The family does not have to leave the bedside to make phone calls for any relatives or friends who have not been notified; they may use a cell phone or the phone in the room. Providing information about the dying process and then offering to answer any questions that the family have do not actively get the family involved with care for the dying client.

[roselinechinyere27m]

Gracias!

[xiaomengxian]

TYSM