A client who is deaf and communicates using sign language is being admitted by a nurse who does not know sign language. Which of the following actions should the nurse take?

Obtain a board that uses colored pictures as communication.

Request an interpreter during the initial assessment.

Familiarize themselves with commonly used signed language.

Ask a family member to be present during the admission.

Answer and Explanation

The Correct Answer is B

A)   Using a communication board with colored pictures might not effectively facilitate communication for someone who primarily uses sign language.
B)   Requesting an interpreter during the initial assessment ensures effective communication between the nurse and the client.
C)   Familiarizing themselves with commonly used signed language may help the nurse in the long term but may not be feasible or effective during the immediate admission process.

D)   Asking a family member to be present during the admission may help but may not provide the necessary communication support for effective assessment and care.

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Correct Answer is {"xRanges":[413.765625,473.765625],"yRanges":[424.609375,484.609375]}

Explanation

A transverse colon colostomy is typically placed in the upper abdomen, either in the middle or toward the right side of the body. In the above scenario the best location will be B which is located along the path of the transverse colon. Point A would be suitable for an ileostomy while point B will be suitable for a sigmoid colostomy.

A. Skin breakdown B. Infection C. Neurogenic bladder D. Phlebitis

Correct Answer is B

Explanation

A) Skin breakdown could occur due to the catheter bag lying in bed, but it is not the primary risk associated with the observations noted.
B) A kinked IV tubing can lead to stasis of fluids, which increases the risk of infection. Additionally, if the urinary catheter bag is not positioned below the level of the bladder, urine can reflux back into the bladder, which also increases the risk of infection.
C) Neurogenic bladder is a condition typically associated with nerve damage, not directly related to the position of the catheter bag or kinked tubing.
D) Phlebitis is inflammation of a vein, which would not be directly caused by the issues noted with the urinary catheter.

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A client who is deaf and communicates using sign language is being admitted by a nurse who does not know sign language. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is {"xRanges":[413.765625,473.765625],"yRanges":[424.609375,484.609375]}

Explanation

A nurse is assessing a client who has a urinary catheter. The nurse notes the client's IV tubing is kinked and the urinary catheter bag is lying next to the client in bed. The nurse should identify that the client is at risk for which of the following conditions?

Correct Answer is B

Explanation

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