Is a process of learning a different culture to adapt to a new or changing

NCLEX/RN

Is a process of learning a different culture to adapt to a new or changing environment.(Answer) - Acculturation.It is a subjective perspective of the person's heritage and a sense of belonging to a group (Answer) - Ethnic identity Include meditation, relaxation techniques, imagery, music therapy, massage, touch, laughter, humor, & spiritual measures (prayer).

(Answer) - Low-risk therapies:

Because of their health & dietary practices, Native Americans, Latino Americans, Hispanic Americans, & African Americans.(Answer) - High risk of obesity & diabetes mellitus Surgery is not prohibited, but the administration of blood and blood products is forbidden. This religious group believes the soul cannot live after death.Administration of medication is an acceptable practice except if the medication is derived from blood products.(Answer) - Jehovah's Witnesses Believers adhere to dietary kosher laws. In this religion, the dairy-meat combination is unacceptable. Only fish that have scales and fins are allowed; meats that are allowed include animals that are vegetable eaters, cloven-hoofed, and ritually slaughtered.(Answer) - Orthodox Judaism include whole medical systems, mind-body medicine, biologically based practices, manipulative & body-based practices, & energy medicine.

(Answer) - Five categories of complementary and alternative medicine (CAM):

Focused, maintains strong control, makes decisions, & addresses all problems.Dominates group & commands, rather than seeks suggestions or input. Manager addresses problem (quality improvement) with taff, designs a plan without input, & wants all problems reported directly back to her (Answer) - Autocratic leader 1 / 4

Participative & would likely meet with each staff person individually to determine staff member's perception of problem. Would also speak with the staff about any issues & ask the staff for input with developing a plan.(Answer) - Democratic leader Passive and nondirective. Would state what the problem was & inform staff that the staff needed to come up with a plan to "fix it."(Answer) - Laissez-faire leader Assessment findings include cough, dyspnea, crackles, tachypnea, tachycardia, elevated blood pressure, bounding pulse, elevated CVP, weight gain, edema, neck & hand vein distention, altered LOC, & decreased hematocrit.(Answer) - Overhydration or fluid overload & occurs when fluid intake or fluid retention Avocado, bananas, cantaloupe, carrots, fish, mushrooms, oranges, potatoes, pork, beef, veal, raisins, spinach, strawberries, & tomatoes(Answer) - Common food

sources of potassium:

Muscle weakness, increased urinary output, & decreased specific gravity of the urine would be noted(Answer) - Hyponatremia Causative factors relate to malnutrition or starvation & the use of aluminum hydroxide-based or magnesium-based antacids. Malnutrition is associated with alcoholism.(Answer) - Hypophosphatemia Renal insufficiency, hypoparathyroidism, & tumor lysis syndrome; causative factors. Should avoid foods high in phosphates; fish, eggs, milk products, vegetables, whole grains, & carbonated beverages.(Answer) - Hyperphosphatemia Vomiting, diarrhea, conditions that increased respiration's or increased urinary output, insufficient intravenous fluid replacement, draining fistulas, presence of ileostomy or colostomy. Diuretics, & gastrointestinal suctioning.(Answer) - Causes of a fluid volume deficit Decreased kidney function, heart failure, hypotonic fluids to replace isotonic fluid losses, excessive irrigation of wounds & body cavities, & excessive ingestion of

sodium.(Answer) - Causes of overhydration or fluid overload:

Trauma, burns, sepsis, or metabolic or respiratory acidosis.(Answer) -

Hyperkalemia causes: 2 / 4

Cushing's syndrome or colitis & over use of laxatives.(Answer) - Hypokalemia

causes:

Decreased pH & decreased HCO3. Occurs in kidney disease; diabetic ketoacidosis; high fat diet; insufficient metabolism of carbohydrates; malnutrition; ingestion of toxins, such as acetylsalicylic acid (aspirin); malnutrition; severe diarrhea.Intestinal secretion high in bicarbonate & may be lost through enteric drainage tubes, an ileostomy, or diarrhea.(Answer) - Metabolic acidotic Nausea & vomiting. Loss of gastric acid, cause pH & HCO3 to increase.Symptoms experienced would include hypoventilation & tachycardia.(Answer) - Metabolic alkalosis Decreased pH and an increased CO2. Hypoventalation & COPD(Answer) - Respiratory acidotic Increased pH & decreased CO2. Hyperventalation, Lethargy, lightheadedness, confusion, tachycardia, dysrhythmias related to hypokalemia, nausea, vomiting, epigastric pain, numbness & tingling of extremities. Hyperventilation (tachypnea) occurs.(Answer) - Respiratory alkalotic Sample for PT & INR level to determine anticoagulation status & risk for bleeding(Answer) - Warfarin (Coumadin) aPTT monitors the effects. Anticoagulant used most often during hemodialysis.Monitors extent of anticoagulation checking PTT, which is appropriate measure heparin effect. Protamine sulfate is antidote.(Answer) - Heparin Dark green leafy vegetables good source iron, oranges are a good source of vitamin C, which enhances iron absorption.(Answer) - Iron deficiency anemia

foods in diet:

May lack B12 in diet.(Answer) - Vegans

Include fruits & vegetables(Answer) - Low sodium foods:

Highly processed or refined foods (tomato soup, instant oatmeal), Saltwater fish & shellfish. Smoked foods,(Answer) - High Sodium foods: 3 / 4

Water, bouillon, clear broth, carbonated beverages, gelatin, hard candy, lemonade, ice pops, and regular or decaffeinated coffee or tea.(Answer) - Clear liquid diet: Pulling, Vegetable juice, Pureed vegetables, plain ice cream, sherbet, breakfast drinks, milk, pudding & custard, soups that are strained, refined cooked cereals, &

strained vegetable juices.(Answer) - Full liquid diet:

Pork products rich in this vitamin. Other good food sources include nuts, whole grain cereals, & legumes.(Answer) - High Thiamine foods On the left side, with the head lower than the feet. This position used to minimize effect of air traveling as a bolus to lungs by trapping it in right side of heart.(Answer) - Suspects air embolism. Should immediately place client in which position?Assess for known allergies to eggs to prevent anaphylaxis.(Answer) - Fat emulsion (lipids) Signs include excessive thirst, fatigue, restlessness, confusion, weakness, Kussmaul's respirations, diuresis, & coma when severe. If has these symptoms,

blood glucose level should be checked immediately.(Answer) - Hyperglycemia:

Temperature and weight: Temperature monitored to detect infection, potential

complication of therapy. Infection also could result in sepsis because catheter in blood vessel. Weight monitored for effectiveness nutritional therapy & detect hypervolemia.(Answer) - Parenteral nutrition; PN monitor Burns, exacerbation Crohn's disease, persistent nausea & vomiting due to chemotherapy. Had extensive surgery, multiple fractures, are septic, have advanced cancer or AIDS. (Electronic infusion pump used to administer)(Answer) - Parenteral nutrition; Patients needing 10% dextrose in water until new PN solution becomes available.(Answer) - Parenteral nutrition; If PN bag empty hang IV dislodged from vein & is lying in subcutaneous tissue. Pallor, coolness, & swelling are results of IV fluid being deposited in tissue. Corrective action is remove catheter & start new IV line at another site.(Answer) - Infiltrated IV

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