152 TEST 2 (Culture & Family Dynamics)

Which of the following is not a transcultural communication technique? A. Explaining to the patient that they can and need to speak freely about their symptoms and fears B. Providing the patient with a quiet setting C. Examining your stereotypes and biases D. Listening to what your patients are trying to tell you about their symptoms

Examining your stereotypes and biases

T or F? Children and family members should be encouraged to serve as interpreters.

False

According to Havighurst, learning behaviors are based upon developmental tasks. In assessing an adult patient, the nurse is aware that a common developmental task of middle adulthood includes: assisting children to become responsible adults. preparing for a career. learning to live with a marriage partner. adjusting to retirement and reduced income.

assisting children to become responsible adults.

A nurse is demonstrating ethnocentrism. Which statement would reflect this concept? "Irish people are all heavy drinkers." "Asians are always the smartest in the class." "My Russian heritage is superior to all others." "Anybody on welfare is just lazy."

"My Russian heritage is superior to all others." Rationale: Ethnocentrism is viewing one's own culture as the only correct standard by which to view people of other cultures. Stereotypes are preconceived and untested beliefs about people. They are exaggerated descriptors of character or behavior that are commonly reiterated in mass media, idiomatic expressions, and folklore. They may be demeaning ("People on welfare are lazy, just living off handouts"; "Irish people are all heavy drinkers") or idealizing ("Asians are always the smartest in the class"; "Nurses are patient people"). Either way, they mislead and deny the individuality of the person.

A nurse is interviewing a client for possible depression. What client statement will most likely reflect clinical depression? "I slept poorly the last two nights." "I've been feeling sad and down for the last couple of days." "My life is worthless, and I don't know why I'm here." "My work is so interesting lately, and I feel like I can add to the office."

"My life is worthless, and I don't know why I'm here."

A nurse is giving discharge instructions to a client who came to the emergency department following an ankle sprain. The client asks "Why does this hurt so much?" Which response would be most appropriate from the nurse? "The nerves are being stimulated by the pressure from the swelling at the sprain." "The local heat at the sprain causes pain." "The blood vessels are damaged, and this releases histamine, which causes pain." "The hypothalamus gets reset by the injury and produces the pain response."

"The nerves are being stimulated by the pressure from the swelling at the sprain."

A nurse needs to encourage a client who is Hispanic and has severe depression to express the client's feelings. What distance between the nurse and the client may help facilitate therapeutic communication? 3 to 6 feet 10 to 12 inches 15 to 18 inches 15 to 18 feet

3 to 6 feet

A community health nurse is providing care to a group of Hispanic people living in an area that is predominantly populated by white people. What are the Hispanic people in this community an example of? A subculture A subgroup A minority A majority

A minority

A nurse working in a long-term care facility institutes interventions to prevent falls in the older adult population. Which intervention would be an appropriate alternative to the use of restraints for ensuring client safety and preventing falls? Involve family members in the client's care. Allow the client to use the bathroom independently. Keep the client sedated with tranquilizers. Maintain a high bed position so the client will not attempt to get out unassisted.

Involve family members in the client's care.

A client who is admitted to the ER with severe right-sided abdominal pain is diagnosed with appendicitis. The surgeon is called and proceeds to explain the procedure to the client and asks her to sign the consent. The client refuses and informs the doctor that her husband needs to be called to do this. Which of the following religions does this client likely practice? Hinduism Catholicism Islam Judaism

Islam

T or F? Cultural and linguistic competency is a set of congruent behaviors, attitudes, and policies that come together in a system, in an agency, or among professionals.

True

The patient wants to be prescribed an anti-infective drug for the flu. The nurse understands that anti-infective medications would not be useful against which biologic agents? Bacteria Fungi Mycoplasmas Viruses

Viruses

In caring for a client, the nurse recognizes which as the primary educational and support structure for an individual? Family members Peers Teachers and coaches Clergy

Family members

The nurse in the adolescent in-patient psychiatric unit is interviewing the family of a 16-year-old client admitted for depression and threatened suicide. What assessment information is most essential for the nurse in determining the affective and coping function of the family? Responsibilities of the adolescent Employment history of the parents Family patterns of communication Environmental hazards in the home

Family patterns of communication

Which of the following is the most effective way to identify patients with limited literacy skills? A. Assess their physical appearance B. Determine their educational level C. Ask if they can read D. None of the above

None of the above

The nurse is caring for a client who has experienced significant pain following a surgical procedure. Which nursing interventions are appropriate? Select all that apply. Delegate pain assessment to the UAP. Assess for pain control 30 minutes after administering an analgesic. Consider cultural implications of the perception of pain. Infer that the client who does not complain has no pain. Provide pain medication before activity that may increase pain.

Provide pain medication before activity that may increase pain. Assess for pain control 30 minutes after administering an analgesic. Consider cultural implications of the perception of pain.

The nurse is caring for a client admitted with an upper respiratory infection. The client tells the nurse about following the holistic belief of hot/cold. Which food items should the nurse provide to the client based on this information? Soup, hot tea, and toast Turkey sandwich, milk, and gelatin Chicken salad, water, and a frozen fruit juice bar Fruit salad, apple juice, and pudding

Soup, hot tea, and toast

The nurse is caring for a client whose language skills are very limited in the dominant language, and an interpreter has been obtained. The interpreter appears to be telling the client more than the nurse is saying and possibly providing an opinion or medical advice. Which action is appropriate for the nurse to take? Continue with the method of communication because the nurse does not speak the language. Speak privately with the interpreter and instruct them to only provide language interpretation. Document in the medical record that the client is not making his own decisions. Use a computerized application to confirm what the interpreter is saying.

Speak privately with the interpreter and instruct them to only provide language interpretation.

During an interview, a patient states, "I don't know why God is punishing me like this." The nurse would most likely identify which nursing diagnosis as a priority? Anxiety Readiness for enhanced coping Spiritual distress Ineffective coping

Spiritual distress

Which of the following is the preferred role of medical interpreters?

Conduit

The nurse has just attended a seminar on concepts of cultural diversity. Which statement made by the nurse would require further education? "Culture helps to define identity within specific groups of people." "Culture cannot be influenced, and you are born with your culture." "Language is the primary way that people share their culture." "Culture can be seen in attitudes and institutions of certain populations."

"Culture cannot be influenced, and you are born with your culture."

While performing the initial assessment of an infant, the nurse notes a soiled string of yarn around the infant's neck. Which response from the nurse would facilitate culturally competent care? "I see you have a string tied to your child's neck. Can you explain why you do this?" "I noticed the string around your child's neck. Why do you include this practice in your child's health care?" "I see the sacred string is dirty. In your culture, is it okay that I clean it?" "I noticed a ritual string on your child. Is this a cultural practice to protect the child's health?"

"I see you have a string tied to your child's neck. Can you explain why you do this?"

Studying for the NCLEX-RN examination is an example of which type of stressor? Acute, time-limited Stressor sequence Chronic intermittent Chronic enduring

Acute, time-limited

The nurse is caring for a client with different cultural practices and beliefs regarding health care. In which manner can the nurse ensure health disparities are reduced and the client receives equitable care? Interview all clients in the same manner so as not to demonstrate bias or cultural insensitivity. Recognize that all cultures differ in communication styles and ask a family member to help facilitate the gathering of information. Adapt care to encourage a collaborative, client-centered relationship that ensures safe practice. Recognize the rules of personal space, eye contact, and body language may have an impact on perception of health care.

Adapt care to encourage a collaborative, client-centered relationship that ensures safe practice.

The nurse is caring for a terminally ill client who immigrated from Mexico. Which nursing intervention regarding spiritual care is appropriate? Inquire if the client desires the Sacrament of the Sick. Ask the client if a spiritual leader is desired. Do nothing unless the client requests spiritual assistance. Call a Roman Catholic priest to visit the client.

Ask the client if a spiritual leader is desired.

What is the most important safety concept that a nurse should include in the teaching plan for a family with a newborn infant in the household? Avoid stuffed animals and blankets in the crib. Educate about, and be aware of, signs of risky behaviors. Include safeguards to prevent falls in the home. Teach seat belt safety.

Avoid stuffed animals and blankets in the crib.

Which of the following is not a requirement for a qualified translator? A. Previous education, experience, and training in translation B. Membership in the cultural group for which the translation is being done C. Command of both English and the language into which the material will be translated D. Familiarity with medical terminology

B. Membership in the cultural group for which the translation is being done

A nurse is working to develop cultural competence. Which activities would be appropriate for the nurse to engage in when exploring the nurse's own cultural awareness? Select all that apply. Critical reflection Feedback from colleagues Self-assessment Journal article research Client interviews

Critical reflection Feedback from colleagues Self-assessment

Which of the following terms refers to Leininger's description of the person's inability to recognize his or her own values, beliefs, and practices and those of others? Culture Minority Cultural blindness Subculture

Cultural blindness

Nurses are socialized into the: nursing specialties. healthcare culture. caring paradigm. diagnostic process.

Healthcare culture

Which disease is a chronic, progressive, hereditary disease of the nervous system that results in progressive, involuntary dancelike movements and dementia? Multiple sclerosis Huntington disease Parkinson disease Creutzfeldt-Jakob disease

Huntington disease

A patient has a hemoglobin level of 7 g/dL. What should the nurse be alert to assess for? Hyperemia Hypertension Hypoglycemia Hypoxia

Hypoxia Rationale: Inadequate cellular oxygenation (hypoxia) interferes with the cell's ability to transform energy. Hypoxia may be caused by a decrease in blood supply to an area, a decrease in the oxygen- carrying capacity of the blood (decreased hemoglobin), a ventilation-perfusion or respiratory problem that reduces the amount of arterial oxygen available, or a problem in the cell's enzyme system that makes it unable to use oxygen.

"Triadic" refers to which of the following relationships in a nursing interview setting?

Nurse, interpreter, patient

Which of the following four statements best describes the relationship between the knowledge-centered and skill-centered approaches to delivering culturally and linguistically competent care?

Knowledge-centered and skill-centered approaches should be balanced.

A young couple who have been married less than a year are having difficulty with adjusting to parenting. What is a contributing factor to this level of maladjustment? Limited time in learning to be a marital partner Economic difficulties associated with parenting Involvement from significant others Stress of education, job, and parenting

Limited time in learning to be a marital partner

A nurse is providing care to a client who is feeling lonely and isolated. In an effort to develop a trusting nurse-client relationship, the nurse exhibits a caring attitude, ensures the client's privacy, and spends time with the client to promote therapeutic communication. The nurse is meeting which category of client needs? Physiologic Safety and security Love and belonging Self-esteem

Love and belonging

The nurse is caring for a client who is very ill. The client's spouse has asked to speak with the physician, who makes rounds between 0900 and 1000 every morning. The nurse tells the spouse to be at the bedside at that time in order to talk with the physician, but the spouse never arrives until the afternoon. Knowing that some individuals view time in a wider frame of reference, the appropriate response to this behavior is which of the following? Make other arrangements with the physician to facilitate a meeting with the spouse. Talk to the spouse and be firm about the time issue; let the spouse know that the physician cannot see her in the afternoon. Do nothing; let the spouse handle the issue. Report the issue to the nurse supervisor and ask her to talk to the spouse.

Make other arrangements with the physician to facilitate a meeting with the spouse.

Which of the following patients would the nurse identify as LEAST likely to be experiencing loss? Patient who was just told that he has lung cancer Patient who is abusing substances Patient with diabetes who had his foot amputated Patient whose spouse just recently died from a chronic illness

Patient who is abusing substances

During the nurse's admission interview the client says, "I don't get too much rest because I am in nursing school and work full time to support myself and my kids." The nurse classifies this statement as an issue at which level of Maslow's basic needs? Physiologic Safety and security Love and belonging Self-esteem

Physiologic

Which of the following, if any, is the definition of "illness"?

The psycho-social meaning and experience of the perceived disease for the individual, the family, and those associated with the individual

The nurse is caring for a child who has been hospitalized repeatedly at multiple hospitals. There is no clear medical diagnosis and the mother is threatening to leave the hospital against medical advice. The nurse suspects what issue? caregiver-fabricated illness (formerly Munchausen syndrome by proxy) bipolar disorder anxiety disorder sexual abuse

caregiver-fabricated illness (formerly Munchausen syndrome by proxy)

The parents of three children ages 4, 7, and 11 years are interested in fostering spiritual development in their children. The nurse informs the parents that the development of a child's spirituality is best accomplished by: educating through parental behaviors. educating the child about religion. educating the child about God. educating through religious-based schools.

educating through parental behaviors.

To assess the sociocultural aspects of the family of an adolescent being seen in an ambulatory clinic, the nurse would try to find out more about: his mother's occupation. his mother's attitude toward citizenship. the adolescent's education level. his family structure.

his family structure

A client says to the nurse, "Why don't you wear a white cap like nurses do on the soap operas?" This is an ethnocentric statement based on the: nursing personality. past history. media. genetics.

media

The generation-to-generation continuum of violence refers to the fact that: violence is a learned behavior, and children who witness intimate partner violence are more likely to become abusers themselves. violence is an innate behavior, and children become abusers because of external factors in their environment more often than in their family. children who grow up a victim of maltreatment are less likely to be abusers themselves because they see first-hand the devastation that violence can cause. children who grow up a victim of maltreatment almost always become abusers themselves unless they have professional intervention.

violence is a learned behavior, and children who witness intimate partner violence are more likely to become abusers themselves.

The nurse is teaching home care to the parents of a 4-year-old client diagnosed with asthma. The nurse knows additional teaching is needed if the parents make which statement? "We will not enroll our child in preschool this year." "It is important for us to know what triggers an attack." "We feel confident we can administer medication with a nebulizer." "Emergency instructions and phone numbers are posted in our home."

"We will not enroll our child in preschool this year."

The unlicensed assistive personnel reports to the nurse that the client is refusing to eat the food on the meal tray. The nurse observes the client eating the food brought in by family members. How should the nurse respond? "What type of food did your family prepare for you, and does it have special meaning?" "You can only eat the food that we serve you." "Do you understand that you are on a strict diet and any variation can cause you harm?" "I will need to get permission from your health care provider for you to eat the food your family brought in."

"What type of food did your family prepare for you, and does it have special meaning?"

While interviewing the wife of a patient with multiple health problems, the spouse states, "I'm not the one who is ill, but I feel like I'm getting sick all the time." Which response by the nurse would be most appropriate? "Maybe you are catching something from your husband." "When one family member becomes ill, other members are affected." "Why don't you focus on how well you are coping?" "Let's talk with your doctor about getting you checked out."

"When one family member becomes ill, other members are affected."

When completing a transcultural assessment of communication, which assessment by the nurse is most appropriate? Assessment of eye contact, personal space, and social taboos Assessment of religious beliefs and prayer schedules Assessment of racial identification and cultural affiliation Assessment of income level to determine poverty status

Assessment of eye contact, personal space, and social taboos

While taking a nursing history, the nurse is made to feel uncomfortable when a client positions himself very close to the nurse. The nurse should do which of the following? Calmly ask the client to move back to a distance that is more comfortable for the nurse. Consider that the client's cultural preferences for space and distance may be a reason for this behavior. Report the inappropriate behavior to the nurse's supervisor. Ask a colleague to complete the health history.

Consider that the client's cultural preferences for space and distance may be a reason for this behavior.

A client is diagnosed with posttraumatic stress disorder (PTSD). Which finding would the nurse most likely assess? Constricted pupils Bradycardia Diaphoresis Muscle flaccidity

Diaphoresis

The client is admitted to the hospital with a ruptured ovarian cyst. The client has expressed that it is very important that the spouse be present to receive all medical information. Using the concepts of culturally competent care, which is the best response? Explain to the client that the client is required to make all decisions related to the client's own health care. Document the client's request in the nursing care plan. Bring the client's spouse into the hallway to discuss surgical options for the client. Explain to the client that it is not a good idea to have the spouse in the room when discussing such a private matter.

Document the client's request in the nursing care plan.

Which area is typically included in a cultural assessment? Marital status Employment status Food preferences Ethics

Food preferences

A 35-year-old male client is seeking infertility treatment. The client's diagnostic workup includes a PSA level of 5.0 ng/mL and a WBC count of 8,000 mm3. His physician diagnoses him with prostatitis. Which type of prostatitis is the client most likely experiencing? I II III IV

IV Rationale: Clients with type IV prostatitis are usually diagnosed incidentally during a workup for infertility, and they have elevated PSA levels. Acute bacterial prostatitis (type I), chronic bacterial prostatitis (type II), and chronic prostatitis/chronic pelvic pain syndrome (type III) would show an elevated WBC count.

Which concept characterizes transcultural nursing? Performing health-related activities and restoring wellness Acknowledging that clients with the same skin have similar social situations Planning care compatible with the client's health belief system Influencing culture by specific conditions related to an environment

Planning care compatible with the client's health belief system

What is the primary role of the nurse in the care of clients who experience domestic violence? Calling the police Identifying health education and counseling measures for the family Providing prompt recognition of the potential or actual threat to safety Serving as a witness in court

Providing prompt recognition of the potential or actual threat to safety

The nurse overhears a colleague state, "All people from that client's country are rude." What is the appropriate nursing response? Say nothing and ignore the comment. Agree and state, "Yes, I've noticed the same thing." Report the colleague to the nurse manager. Respond by saying, "Stereotypes keep us from accepting others as unique individuals."

Respond by saying, "Stereotypes keep us from accepting others as unique individuals."

Campinha-Bacote's model of culturally competent care encourages health care providers to:

Seek cultural encounters, obtain cultural knowledge, develop skills to conduct culturally sensitive assessments, and develop self-awareness

A client is seeking care at the local clinic. The nurse is completing a cultural assessment. Which scenario would demonstrate cultural assimilation? The client does not speak the dominant language and requires an interpreter. The client's child learned the dominant language as a second language. The client and child cook traditional foods for the family. The client enjoys watching television programs from the home country.

The client's child learned the dominant language as a second language.

The nurse is conducting a family assessment of a traditional family. Which assessment data cue describes the socioeconomic status of the family? The father is an engineer and the mother is an elementary school teacher. The family celebrates Hanukkah and Passover with special meals. The family consults their rabbi and synagogue members during times of stress. The family members vacation together every year at a beach resort.

The father is an engineer and the mother is an elementary school teacher.

T or F? Only nursing encounters with racial/ethnic minority patients are considered "cross-cultural" encounters.

False

Which nursing intervention reflects culturally appropriate care when addressing a client? "Good morning, Mr. Smith. I am your nurse, John." "You can sit in this chair, Sally." "Thank you for coming to the clinic today." "I see you are here because you have a sinus infection."

"Good morning, Mr. Smith. I am your nurse, John."

T or F? The explanatory model is the belief system that reveals the patient's perspective on the interaction with health care providers.

False

Which client growth needs are included in the love and belonging level of Maslow's hierarchy? (Select all that apply.) Family Self-respect Intimacy Status Friendships

Family Intimacy Friendships

The nurse admits a client to the critical care unit to rule out a myocardial infarction. The client has several family members in the waiting room. Which nursing action is most appropriate? Allow all the visitors into the room. Explain to the family that too many visitors will tire the client. Insist that only one family member can be in the room at a time. Assess the client's beliefs about family support during hospitalization.

Assess the client's beliefs about family support during hospitalization.

Which scenario is an example of cultural competence in nursing? Assessing the rate at which an illness causes death in a culture Attending a conference for cultural diversity Attending one's own church Assuming the provider and the client share beliefs and values

Attending a conference for cultural diversity

A client is experiencing difficulty speaking and numbness on his right side. His wife calls a neighbor who is a nurse for help. Upon arrival at the scene, the nurse calls 911 immediately. Which of the following displays the nurse's critical clinical judgment? .The blood supply to the heart is reduced. A decreased hemoglobin count lowers blood supply to the brain. This man needs to develop collateral circulation immediately. Brain cells without oxygen die in approximately 3 to 6 minutes.

Brain cells without oxygen die in approximately 3 to 6 minutes.

A nurse is working with a family that is under stress. Which trait would the nurse emphasize in the plan of care as being most useful to the family's coping? Emotional strengths Cognitive abilities Individual talents Communication skills

Communication skills

The parents of a blended family have a baby boy age six months who is due for immunizations. The clinic closest to their home has recently closed, and they feel intimidated by the prospect of going to the large, university hospital near their home. Which type of factor is the primary influence on this aspect of the family's health? Community health care structure Economic factors Family risk factors Lifestyle influences

Community health care structure Rationale: The size, location, and services of health care offerings in a geographical area are components of the community health care structure and its influence on health. Family functioning, lifestyle, and economic considerations are not primary influences on the family's actions.

T or F? It is important for nurses and patients to communicate in the same language because a common language ensures cultural understanding.

False

T or F? National CLAS Standards 1-3 provide recommendations on implementing language assistance services.

False

The community-based nurse acts as case-manager for a small town about 60 miles from a major health care center. What is the most important factor of community-based nursing for the nurse to be knowledgeable about? Eligibility requirements for services. Community resources available to patients. Transportation costs to the medical center. Possible charges for any services provided.

Community resources available to patients.

The nurse is caring for the teenage child of immigrants. The teenager voices distress because after living in the country for several years, he no longer wants to participate in some of the tradition religious rituals that are important to his parents. What is the teenager experiencing? Culture shock Cultural ethnocentrism Cultural change Cultural relativity

Culture change

The BATHE model helps nurses to

Elicit the psycho-social context of the patient's experience with illness

When a person believes that other groups have "natural" cultural characteristics and there are no variations within a specific culture, this person displays which of the following?

Essentialism

When a home-bound client expresses the client's past-oriented ancestral heritage and family rituals, the nurse recognizes that the client is expressing: race. assimilation. subculture. ethnic identity.

Ethnic identity

The nurse is assessing the family structure of the client. The family household comprises two parents, three children, and one grandparent. The nurse recognizes that this is a(n): extended family. cohabiting family. blended family. traditional family

Extended family

A client with cancer has a family who is emotionally supportive of the client. Having a supportive family is which type of resource? External resource Internal resource Professional resource Financial resource

External resource

T or F? Community members should not be involved in reviewing translated materials because they do not have the requisite medical knowledge to appropriately judge the translations.

False

T or F? Developing cultural and linguistic competency is a specific achievement.

False

The general adaptation syndrome (GAS) is a nonspecific physiologic response to a stressor. Which stage is not a part of the process? stress awareness stage alarm stage resistance stage exhaustion stage

Stress awareness stage Rationale: The general adaptation syndrome can cycle many times through the alarm and resistance stages before reaching the exhaustion stage. The process occurs through the neuroendocrine and autonomic nervous systems.

A nurse is teaching a 6-year-old child and parents about an outpatient surgical procedure the child will have the next day. The child is "shy" and does not maintain eye contact with the nurse. What is the best way for the nurse to approach the child? Talk to the parents first to give the child a chance to "warm up." Give information to the parents and let them talk to the child later. Ask the parents to step out of the room and talk with the child privately. Ask the child questions until he or she begins talking freely.

Talk to the parents first to give the child a chance to "warm up."

A family has immigrated and settled in a neighborhood that primarily speaks their native language. The nurse caring for this family recognizes that which family member will likely require the greatest amount of time to learn the dominant language? The 45-year-old mother in the family who does not work outside the home The 58-year-old father in the family who works in a nearby factory The 12-year-old son in the family who attends public school The 18-year-old daughter in the family who works at a restaurant in a neighboring town

The 45-year-old mother in the family who does not work outside the home

Which of the following, if any, encompasses the definition of patient-centered care?

The nurse is aware of the role of cultural health beliefs and practices in the person's health-seeking behavior and is able to negotiate treatment options appropriately and in a culturally sensitive way.

A home care nurse is planning to visit a client newly diagnosed with diabetes. Further review of the chart reveals the client is of Japanese heritage. Upon arriving at the home, the home care nurse observes several pairs of shoes on a mat next to the door. Which of the following actions by the nurse demonstrates cultural competence? The nurse removes her shoes and announces her arrival. The nurse places shoe covers on her shoes and proceeds with the visit. The nurse removes her shoes then teaches the client the importance of wearing shoes because of peripheral neuropathy. The nurse leaves her shoes on and explains standard precautions to the client.

The nurse removes her shoes and announces her arrival.

The SMOG formula determines:

The readability level of written materials

Which statement is true regarding Friedman's theory of family-centered nursing care? The role of the family is essential in every level of nursing practice. The family is composed of independent members who live and function individually. The focus on health should be directed at improving the health of the sickest member of the family. Illness of one family member strengthens the roles of the sick member in the family structure.

The role of the family is essential in every level of nursing practice.

A nurse is giving a talk about child abuse to a local community group. When discussing risk factors for child abusers, which would the nurse identify as the most likely profile of the perpetrator of fatal child abuse? Middle-aged woman with a college degree Unemployed young woman who dropped out of high school Middle-aged, wealthy businessman Young college graduate who recently gave birth to her first child

Unemployed young woman who dropped out of high school

The nurse in the pediatric unit is caring for a 10-year-old client admitted with dehydration and diarrhea after eating chicken contaminated with Salmonella bacteria. What action taken by the nurse would be the most effective in preventing the spread of the infectious microorganism? Wearing gloves when taking the client's blood pressure and pulse Bagging soiled pajamas in a labeled paper bag for the parents to take home Washing hands before and after providing the client care Removing the chicken from the client's meal tray

Washing hands before and after providing the client care

The nurse is assessing a postoperative client's surgical incision site. The nurse anticipates which finding? Wound edge approximated Moderate amount of scar formation Granulation tissue formation Abnormal cell functionality

Wound edge approximated