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?
Ask other Asians to explain their culture.
Hire an interpreter to explain the family culture.
Just ask the family about their culture and listen.
Research the culture and base care on findings.
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 B
Explanation
Rationale:
A. PKU is typically diagnosed through a blood test, not a urine test. The blood test measures phenylalanine levels, which are elevated in PKU.
B. Untreated PKU can lead to severe cognitive deficits and developmental delays due to the accumulation of phenylalanine, which is toxic to the brain. Early detection and treatment can prevent these outcomes.
C. In PKU, the urine does not typically contain high levels of phenyl pyruvic acid; it is the blood levels of phenylalanine that are elevated.
D. The effects of PKU are not reversible; however, with early and consistent treatment, such as a strict low-phenylalanine diet, the symptoms can be managed effectively.
Correct Answer is D
Explanation
Rationale:
A. Monitoring for infection is important, but the white blood cell count is within normal limits, so it is not the immediate priority.
B. Although the hemoglobin is slightly low, it is not critically low, so transfusion of packed red blood cells is not immediately necessary.
C. Intravenous immunoglobulins are not indicated based on the current lab values.
D. The platelet count is critically low, placing the client at high risk for bleeding. Initiating bleeding precautions is the priority to prevent hemorrhage.