A nurse is about to explain a therapeutic procedure to a client who doesn't speak the same language as the nurse. Which of the following actions should the nurse take?
Have a medical interpreter present during the teaching.
Ask a family member to translate.
Tell the client that he will receive written information in his language after the procedure.
Use nonverbal gestures to assure the client that the procedure is safe and will help him.
The Correct Answer is A
A. Have a medical interpreter present during the teaching:
Using a qualified medical interpreter ensures accurate communication, which is essential for informed consent.
B. Ask a family member to translate:
Family members may misinterpret or filter information, violating privacy and accuracy.
C. Tell the client that he will receive written information in his language after the procedure:
Patients must understand the procedure before it’s performed to provide informed consent.
D. Use nonverbal gestures to assure the client that the procedure is safe and will help him:
Nonverbal communication is not sufficient for informed consent or explanation of complex procedures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. 60:
This is the diastolic pressure, not the pulse pressure.
B. 80:
Pulse pressure = Systolic – Diastolic → 140 – 60 = 80. This is the correct calculation.
C. 140:
This is the systolic pressure, not the pulse pressure.
D. 200:
This is not a relevant value in this context and is mathematically incorrect.
Correct Answer is A
Explanation
A. Perform catheter care twice a day:
Routine perineal care and cleaning of the catheter insertion site are evidence-based practices to reduce CAUTI risk.
B. Replace the catheter on a routine basis:
Routine replacement is done, but not more effective than good hygiene in reducing infection risk. Over-manipulation may increase risk.
C. Administer cranberry tablets three times a day:
Cranberry products have not consistently shown a reduction in CAUTIs in catheterized patients.
D. Administer prophylactic antibiotics twice a day for the duration of the catheter:
This promotes antibiotic resistance and is not recommended unless there is an active infection.
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