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The nurse is performing a cultural assessment of an Asian family that has a child hospitalized for leukemia. What is the best technique for providing culturally competent care for this family?

A.

Ask other Asians to explain their culture.

B.

Hire an interpreter to explain the family culture.

C.

Just ask the family about their culture and listen.

D.

Research the culture and base care on findings.

Answer and Explanation

The Correct Answer is C

Rationale:

 

A. Assuming all Asians have the same culture is a generalization and may not accurately represent the specific cultural background of the family in question.

 

B. Hiring an interpreter may be helpful for language translation but may not provide insights into the nuances of the family's cultural beliefs and practices.

 

C. Directly engaging with the family and listening to their perspectives allows for a better understanding of their specific cultural beliefs and preferences.

 

D. While research can provide valuable information, direct communication with the family is essential for truly understanding their cultural needs and preferences.


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Correct Answer is D

Explanation

Rationale:
A. Bronchiolitis usually presents with wheezing and difficulty breathing, not drooling or inability to cough.

B. Asthma typically presents with wheezing, shortness of breath, and coughing, but not with drooling or an inability to cough.

C. Nasopharyngitis, or the common cold, usually causes symptoms like runny nose, cough, and sore throat, but not drooling or agitation.

D. Bacterial epiglottitis is a life-threatening condition characterized by drooling, agitation, inability to cough, and potential airway obstruction. The child often appears anxious and sits leaning forward in a "tripod" position.

Correct Answer is B

Explanation

Rationale:

A. While pain management is important, the primary treatment for pyloric stenosis is surgical correction, not just analgesic medication.

B. Preparation for surgical correction, specifically a pyloromyotomy, is the standard treatment for pyloric stenosis to relieve the obstruction.

C. A barium enema is not used in the diagnosis or treatment of pyloric stenosis; it is typically used to diagnose other gastrointestinal conditions.

D. Thickened feedings with rice cereal are not indicated for pyloric stenosis and would not resolve the obstruction.

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