A nurse is planning to provide discharge teaching to a client who speaks a different language than the nurse. Which of the following actions should the nurse take?
Consider gender and age when selecting an interpreter.
Direct comments and questions to the interpreter.
Speak to the client in a loud voice.
Ask a member of the client's family to serve as an interpreter.
The Correct Answer is A
A. Consider gender and age when selecting an interpreter Cultural preferences may influence comfort and communication. For example, a client may feel more comfortable speaking with an interpreter of the same gender or age group.
B. Direct comments and questions to the interpreter The nurse should speak directly to the client, not the interpreter, to maintain engagement and respect.
C. Speak to the client in a loud voice Speaking louder does not improve comprehension and may come off as disrespectful. Clear, slow speech is more effective.
D. Ask a member of the client's family to serve as an interpreter Family members may omit or alter information and are not trained in medical terminology or confidentiality laws. A professional medical interpreter should be used.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Your family member has the right to refuse care." Every competent adult has the legal and ethical right to make decisions about their own medical treatment, including the right to refuse care, even if it results in death.
B. "To continue treatment, you must be appointed as your family member's health care surrogate." The client is still competent and capable of making their own decisions, so a surrogate is not necessary or legally allowed to override their wishes.
C. "We should discuss different treatment options when your family member is not present." Discussing medical decisions behind the client’s back would be unethical and violate the principle of autonomy.
D. "I can submit your request to the ethics committee." There is no ethical dilemma here, as the client has the right to refuse treatment, and their decision must be respected.
Correct Answer is ["440"]
Explanation
Total Intake:
0.9% sodium chloride IV infusion = 600 mL
Cefazolin in D5W IV bolus = 100 mL
Total intake = 600 + 100 = 700 mL
Total Output:
Emesis = 200 mL
Voided urine = 40 mL
Straight catheter urine = 20 mL
Total output = 200 + 40 + 20 = 260 mL
Difference (Intake - Output):
700 mL - 260 mL = 440 mL
Final Answer:
440 mL
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