Cultural Competency, Social, Emotional Practices And Attitudes Towards Health And Western Medicine

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1. Some of the obstacles considered is a role in cultural competency that includes understanding and respecting the culture, race, social, emotional practices and attitudes towards health and Western medicine. When using an interpreter for Mrs. H, it is professional to speak directly to the mother rather than the translator. Speaking at a slow pace, in short sentences and clarifying her understanding after each main point. Avoid medical language, colloquial speech and frequent hand gestures which can be confusing for Mrs. H. Lastly, thank the interpreter and answer any questions remembering that silence is a great way to reflect and ask questions for mom (Wong, Hockenberry, & Perry, 2014). 2. Performing an assessment the abnormal findings…show more content…
The therapeutic range is 100 mg/kg loading dose and then 80 mg/kg daily. J.H. weighs 3.5 kg. Is the loading dose ordered safe? Is it therapeutic? Show your work. The loading dose is 3.5 kg × 100 mg/kg = 350 mg loading dose. The ordered dose would be safe but sub-therapeutic because it is lower than the therapeutic range (Skidmore-Roth, 2012). 7. J.H. 's laboratory findings: The urine, hemoglobin (Hgb) and hematocrit (HCT) are standard. The elevated white blood cell (WBC) count is from infection, and the sodium might be low, depending on his hydration status and vomiting (Al Bekairy, Al Harbi, & Aikatheri, 2014 ). 8. The CSF results suggest bacterial meningitis because the cerebral spinal fluid is usually clear or slightly cloudy. With bacterial meningitis, finding include decreased glucose, increased protein, and primarily polymorphonuclear leukocytes. Viral meningitis causes an increased protein and normal glucose (Al Bekairy, Al Harbi, & Aikatheri, 2014 ). 9. The most common causes of bacterial meningitis in neonates are group B streptococci and Escherichia coli. The administration of the Haemophilus influenzae type b (Hib) and the Streptococcus pneumoniae (pneumococcal) vaccines have reduced the incidence of meningitis from these pathogens (Al Bekairy, Al Harbi, & Aikatheri, 2014 ). 10. Nursing appropriate interventions for pain and infection are to maintain hydration, assisting with increased intracranial pressure (ICP), and teach his parents how to
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