A nurse is admitting a client who is 1 week postpartum and reports excessive vaginal bleeding. The nurse speaks a different language than the client. The client's partner and 10- year-old child are accompanying her. Which of the following actions should the nurse take to gather the client's admission data?

Have the client's child translate.

Allow the client's partner to translate.

Request a female interpreter through the facility.

Ask a nursing student who speaks the same language as the client to translate.

Answer and Explanation

The Correct Answer is C

A.   Using a child as an interpreter can be inappropriate and may not ensure accurate communication, especially for sensitive topics such as medical history and symptoms.
B.   While involving the client's partner may seem helpful, it may not ensure accurate translation, and the partner may not be proficient in medical terminology.
C.   Requesting a female interpreter through the facility ensures accurate and confidential communication while respecting the client's cultural preferences and privacy.
D.   While asking a nursing student who speaks the same language as the client may seem convenient, it may not ensure accurate translation, and the student may not have the necessary training in medical interpretation.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B,C,A,D

Explanation

The nurse should first review the skill level and qualifications of each AP then communicate appropriate tasks to the APs with specific expectations, then monitor progress of task completion with each AP; and lastly evaluate the APs' performance of each task. This sequence ensures that tasks are delegated appropriately and that the APs' performance is monitored and evaluated.

A. Determine if the procedure is medically necessary for the client. B. Ensure that the client's family supports the provider's decision for surgery. C. Send the unsigned informed consent form to the facility's risk manager. D. Determine if the client's health care surrogate is aware of the risks and benefits of the procedure.

Correct Answer is D

Explanation

A. While determining if the procedure is medically necessary is important, the decision-making process should involve the client's designated surrogate, especially when the client is unable to make decisions.
B. While family support is valuable, the primary concern is ensuring that the client's designated surrogate, who is responsible for making healthcare decisions on behalf of the client, is informed and involved in the decision-making process.
C. Sending the unsigned informed consent form to the facility's risk manager does not address the immediate need to ensure that the client's healthcare surrogate is informed about the procedure and its implications.
D. When a client is unable to provide informed consent due to incapacitation, the nurse should communicate with the client's designated health care surrogate to ensure they are aware of the risks and benefits of the procedure and can make decisions on behalf of the client.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse has identified tasks to delegate to a group of assistive personnel (AP) after receiving change-of-shift report. Identify the sequence of steps the nurse should follow when delegating tasks to the APs. (Move the steps, placing them in the selected order of performance. Use all the steps.)

Correct Answer is B,C,A,D

Explanation

A nurse is caring for a client who is in a coma and is scheduled for a surgical procedure. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse in labor and delivery is caring for a client who is at 30 weeks of gestation Exhibits Select the 5 findings that require follow up by the nurse

The nurse reviews the client's test results Exhibits For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.

A nurse is caring for a client who is experiencing status epilepticus. Which of the following medications should the nurse expect to administer?

A nurse is performing a skin assessment on a client who has dark skin. Which of the following locations on the client's body should the nurse observe to assess for jaundice?

A nurse is positioning a client for a cesarean birth. To prevent a compromise in placental blood flow during the intraoperative period, which of the following actions should the nurse take?

A nurse is providing teaching to the parents of a newborn about newborn genetic screening. Which of the following statements should the nurse include in the teaching?

A nurse is assessing the skin turgor of an older adult client. In which of the following areas should the nurse lift the skin?

A nurse is caring for a client who presents to the emergency department. Exhibits A nurse is reviewing the client's record. Which of the following client findings indicate the need for further evaluation? Select all that apply.