Author Question: A nursing student has been assigned to a client on a surgical unit and must learn the client's ... (Read 57 times)

Awilson837 · **on:** Jul 22, 2018

A nursing student has been assigned to a client on a surgical unit and must learn the client's pertinent history, daily treatments, diagnostic procedures, allergies, problems, and other information in order to provide the most appropriate care.

Where should the student go to start the review? 1. The client's medical record
2. The medication administration record (MAR)
3. The written care plan
4. The Kardex

Question 2

A nurse is explaining the need to obtain a CBC and culture on a client who has an infection and is of a cultural group different from the nurse's.

During the interview, the client averts her eyes and refrains from answering questions for long periods of time. The nurse should: 1. Come back at a different time, when the client is feeling more communicative.
2. Have another nurse finish the interview, since there is something uncomfortable the client senses.
3. Understand that this may be completely appropriate and take cues accordingly.
4. Leave the room and come back after having learned more about this particular culture.

b614102004 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

4. The Kardex

Rationale:
The Kardex is a concise method of organizing and recording data about a client, making information quickly accessible to all health professionals. The medical record contains the same information as the Kardex, but the complete medical record is lengthy and would take the student more time to review. The MAR includes only those medications that are prescribed or scheduled to be administered during the client's stay and does not include other information like diagnostic tests, daily cares, and so on. The written care plan may be included in the Kardex, or at least a portion of the care plan, but it would not be as inclusive as the Kardex.

Answer to Question 2

3. Understand that this may be completely appropriate and take cues accordingly.

Rationale:
Nonverbal communication includes silence, touch, eye movement, facial expressions, and body posture. Some cultures are quite comfortable with long periods of silence. Many people value silence and view it as essential to understanding a person's needs or use silence to preserve privacy. Before assigning meaning to nonverbal behavior, the nurse must consider the possibility that the behavior may have a different meaning for the client and family.