Author Question: A woman from an Arab culture is in labor and delivery. Her husband insists he must stay with her and ... (Read 39 times)

dakota nelson · **on:** Jul 23, 2018

A woman from an Arab culture is in labor and delivery. Her husband insists he must stay with her and will not allow her to receive any analgesia. Which action by the nurse is the most appropriate?

1. Inform the husband that he must sign a release of responsibility to avoid future litigation against the hospital.
2. Allow this request, and be available in the event the request changes.
3. Inform the husband that it is his wife's choice whether to receive analgesia.
4. Allow the request, but inform the husband that the primary health care provider will make the final decision regarding analgesia.

Question 2

The nurse is providing education about warfarin (Coumadin) to a group of Asian American and African American clients who have experienced strokes. The nurse determines that learning has occurred when the clients make which statement?

1. We might need to have more frequent blood tests.
2. We might need less medication than other ethnic groups.
3. We might need to have less frequent blood tests.
4. We might need more medication than other ethnic groups.

stano32 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale 1: When cultural differences are allowed and supported, clients are not as likely to initiate litigation.
Rationale 2: Nurses must allow and support cultural differences. The husband's decisions must be respected as long as the client's safety is not jeopardized.
Rationale 3: In some cultures, the husband, not the wife, makes the choices for health care.
Rationale 4: In some cultures, the husband, not the primary health care provider, makes the health care decisions.
Global Rationale: Nurses must allow and support cultural differences. The husband's decisions must be respected as long as the client's safety is not jeopardized. When cultural differences are allowed and supported, clients are not as likely to initiate litigation. In some cultures, the husband, not the wife, makes the choices for health care. In some cultures, the husband, not the primary health care provider, makes the health care decisions.

Answer to Question 2

Correct Answer: 2
Rationale 1: There is no need for Asian American and African American clients to have more frequent blood tests if their dosage is regulated based on their reduced metabolism of the drug.
Rationale 2: Asian Americans and African Americans have reduced metabolism rates of warfarin (Coumadin), so they often require lower doses to prevent toxicity.
Rationale 3: As they have a reduced metabolism rate of warfarin, reduced blood tests would not be appropriate.
Rationale 4: They would need less medication, not more, related to their reduced metabolism rate of the drug.
Global Rationale: Asian Americans and African Americans have reduced metabolism rates of warfarin (Coumadin), so they often require lower doses to prevent toxicity. There is no need for Asian American and African American clients to have more frequent blood tests if their dosage is regulated based on their reduced metabolism of the drug. As they have a reduced metabolism rate of warfarin, reduced blood tests would not be appropriate. They would need less medication, not more, related to their reduced metabolism rate of the drug.