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 A
Explanation
A. 15 degrees:
A 15-degree angle is used for intradermal injections, like the tuberculin skin test, to ensure the medication is deposited just under the skin.
B. 30 degrees:
This angle is not appropriate for any standard injection type.
C. 45 degrees:
Used for subcutaneous injections, not intradermal.
D. 90 degrees:
Used for intramuscular injections, not appropriate for a PPD test.
Correct Answer is A
Explanation
A. Temperatures vary depending on the route used:
Each route (oral, rectal, axillary, tympanic) has different baseline readings. Accurate documentation helps interpret the result correctly.
B. Temperatures are readings of core measurements:
Only rectal and tympanic routes give true core temperatures. Oral and axillary are surface-level and influenced by environment.
C. Rectal temperatures are cooler than when taken orally:
This is incorrect-rectal temperatures are typically 0.5–1°F higher than oral temperatures.
D. Axillary temperatures are higher than oral temperatures:
Axillary temps are lower than oral, not higher.
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