The nurse is collecting data from an African-American client ...

[codyclark]

The nurse is collecting data from an African-American client scheduled for surgery. Which of the following questions would be of least priority for the nurse to ask on initial assessment?
 
  1. Do you ever experience chest pain?
  2. Do you have any difficulty breathing?
  3. Do you have a close family relationship?
  4. Do you frequently have episodes of headache?

Question 2

A client is receiving scheduled doses of lovastatin (Mevacor). The nurse evaluates that the medication is having the intended effect if the nurse notes which of the following client data?
 
  1. Weight loss
  2. Increased pulse rate
  3. Lowered blood pressure
  4. Decreased cholesterol level

[brittrenee]

Answer to Question 1

3

Rationale: In the African-American culture, it is considered to be intrusive to ask personal ques-tions on the initial contact or meeting. African Americans are highly verbal and express feelings openly to family or friends, but what transpires within the family is viewed as private. Psy-cho-social data are the least priority during the initial data collection. Additionally, cardiovascu-lar, neurological, and respiratory data include physiological assessments that would be the prior-ity.

Answer to Question 2

4

Rationale: Lovastatin is an HMG-CoA reductase inhibitor used to lower blood cholesterol levels. It is not an antihypertensive (lowered blood pressure), does not stimulate heart rate (increased pulse rate), and does not induce weight loss (weight loss).

[codyclark]

Excellent

[debra928]

TYSM