The home care nurse visits a client to perform a dressing change on a leg ulcer. the client has diabetes mellitus and a history of cardiac disease and is taking one aspirin daily in addition to other medications as prescribed. the client tells the nurse that dental surgery is scheduled
and asks the nurse whether the aspirin should be discontinued. the nurse should most appropriatelymake which statement to the client?
1. "the pharmacist should be called."
2. "there is no risk to having such a minor surgery while taking aspirin."
3. "aspirin has no effect on the surgical procedure and may minimize discomfort."
4. "dental surgery can safely be done usually 10 days after stopping the aspirin, depending on the health care provider's (hcp) preference."

The correct answer is 4. "Dental surgery can safely be done usually 10 days after stopping the aspirin, depending on the health care provider's (HCP) preference."

Explanation:

Aspirin is a common medicine used to treat multiple conditions including pain and inflammation, also, it is common this is used to prevent certain heart diseases and heart attacks. Despite this, as an adverse effect aspirin might lead to excessive bleeding especially after operations which can last up to 10 days. This means, aspirin should be avoided at least 10 days before surgery, according to this, the most appropriate statement, in this case, is "Dental surgery can safely be done usually 10 days after stopping the aspirin, depending on the health care provider's (HCP) preference" as this is the only statement that considers the risk of excessive bleeding aspirin can cause.

i think the answer is d.

low context culture   (lc.):

association:    

relationships begin and end quickly. many people can be inside one's circle; circle's boundary is not clear.

things get done by following procedures and paying attention to the goal.

one's identity is rooted in oneself and one's accomplishments.

social structure is decentralized; responsibility goes further down (is not concentrated at the top).

interaction:

low use of nonverbal elements. message is carried more by words than by nonverbal means.

verbal message is explicit. context is less important than words.

verbal message is direct; one spells things out exactly.

communication is seen as a way of exchanging information, ideas, and opinions.  

disagreement is depersonalized. one withdraws from conflict with another and gets on with the task. focus is on rational solutions, not personal ones. one can be explicit about another's bothersome behavior.

territoriality:

space is compartmentalized and privately owned; privacy is important, so people are farther apart.

temporality:

things are scheduled to be done at particular times, one thing at a time. what is important is that activity is done efficiently.

change is fast. one can make change and see immediate results.

time is a commodity to be spent or saved. one’s time is one’s own.

learning:

reality is fragmented and compartmentalized. one source of information is used to develop knowledge. thinking is inductive, proceeds from specific to general. focus is on detail.

learning occurs by following explicit directions and explanations of others.

an individual orientation is preferred for learning and problem solving.

speed is valued. how efficiently something is learned is important.

hope that                                         : )