An older adult American Indian patient has been admitted to the hospital with abdominal pain. Along with performing a physical assessment, the nurse should also perform a:
literacy assessment.
financial history.
cultural assessment.
psychological history.
The Correct Answer is C
A. While literacy is an important consideration, the focus should be on understanding the patient's cultural background to ensure appropriate care and address any specific needs related to their ethnicity and traditions.
B. A financial history may be relevant but does not directly relate to the patient's immediate care needs regarding abdominal pain.
C. Cultural assessment is essential to understand the patient's values, beliefs, and preferences in healthcare, particularly in a diverse population, to ensure culturally competent care.
D. Psychological history could be useful in some cases, but it is secondary to cultural considerations in a patient with abdominal pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Tapping is the first Korotkoff sound and corresponds to the systolic pressure, not the diastolic pressure.
B. Knocking does not describe any Korotkoff sound associated with the blood pressure reading.
C. Silence is typically noted after the muffling sound and indicates the cessation of Korotkoff sounds, which can be used to assess diastolic pressure in adults, but it is not used in children.
D. The muffling sound occurs before the disappearance of Korotkoff sounds and is often used to mark the diastolic pressure in both children and some adults, making it the correct answer.
Correct Answer is C
Explanation
A. Wrapping the cuff snugly around the arm is important for an accurate reading. The cuff should be snug but not tight to avoid false readings.
B. Positioning the cuff bladder over the brachial artery ensures the correct placement for accurate measurement.
C. Placing the arm above the level of the heart can lead to a falsely low blood pressure reading. The arm should be at heart level for an accurate measurement.
D. Ensuring the gauge starts at zero is critical for accurate measurement and avoids errors in reading.
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