A nurse is caring for a 9-year-old child at a clinic.

Exhibits

The nurse should determine that the assessment findings are consistent with which of the following conditions?
For each potential condition, click to specify if the assessment findings are consistent with a sprain, a fracture, or a dislocation. Each finding may support more than 1 condition.

Rationale:
A. Encourage cultural practices to be incorporated into their care: Respecting and incorporating a Muslim client’s cultural and religious practices promotes culturally competent and patient-centered care. This approach fosters trust, comfort, and cooperation between the client and healthcare team.

B. Incorporate hot and cold practices into the client's care: Hot and cold theory is typically associated with Hispanic, Asian, and Middle Eastern folk medicine traditions, but not all Muslim clients follow this practice. Care should be based on the client’s individual beliefs.

C. Acknowledge that the client may be cared for by a male provider: Many Muslim women prefer to be cared for by female providers due to religious and cultural values of modesty. The nurse should make reasonable efforts to accommodate this preference whenever possible.

D. Have the client remove any face coverings to obtain their history: Muslim women who wear a niqab or hijab may choose to keep their face covered for modesty. The nurse should not insist on removal unless necessary for identification or assessment, and even then, it should be done privately with sensitivity to religious beliefs.

Rationale:
A. Decrease insoluble fiber intake: Decreasing fiber intake worsens constipation, especially in clients taking opioids. Instead, a diet rich in fiber from fruits, vegetables, and whole grains helps promote regular bowel movements and reduces the risk of opioid-induced constipation.

B. Increase exercise activity: Physical activity stimulates intestinal motility, helping prevent constipation. Encouraging the client to engage in regular, safe exercise supports bowel function and complements dietary and hydration strategies to manage opioid-related constipation.

C. Drink 1.5 L of fluids each day: Adequate fluid intake is important for softening stool, but 1.5 L may be insufficient for some clients. Fluid recommendations are typically individualized, and increasing activity has a more direct effect on bowel motility when combined with adequate hydration.

D. Take mineral oil at bedtime: Routine use of mineral oil is generally not recommended because it can interfere with the absorption of fat-soluble vitamins and may cause aspiration if taken orally. Safer alternatives include stool softeners or osmotic laxatives under provider guidance.