A nurse is preparing to obtain a consent from a client who speaks a different language than the nurse and is scheduled for surgery. Which of the following actions should the nurse take?
Have the client nod to indicate understanding.
Recommend an interpreter who is the same gender as the client.
Address all questions to the interpreter.
Use medical terminology when explaining the procedure.
The Correct Answer is B
Choice A rationale:
Having the client nod to indicate understanding may not be sufficient, especially when dealing with complex medical information. It's essential to ensure clear communication, which is best achieved with the assistance of an interpreter.
Choice B rationale:
Recommending an interpreter who is the same gender as the client is a culturally sensitive approach. It ensures the client's comfort and enhances effective communication during the consent process.
Choice C rationale:
Addressing all questions to the interpreter may hinder the direct communication between the nurse and the client. It's crucial to involve the client in the discussion to understand their concerns and provide appropriate information.
Choice D rationale:
Using medical terminology when explaining the procedure might lead to misunderstandings, especially if the client is not familiar with the terminology. Clear, simple language is essential for effective communication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
A flat, nonpalpable, dark-colored area of skin on the trunk is likely a benign nevus, or mole, that does not pose a serious threat.
Choice B rationale:
An atrophic wart on the left index finger is also a benign growth that can be removed by cryotherapy or surgery.
Choice C rationale:
Skin tags in the nose region are harmless skin protrusions that are common in older adults and can be removed for cosmetic reasons.
Choice D rationale:
The nurse's priority is to assess the mole on the shoulder that has changed in appearance. This could indicate a malignant melanoma, which is a type of skin cancer that can spread quickly and be fatal.
Correct Answer is A
Explanation
Choice A rationale:
Tuberculosis is transmitted via airborne droplets, so airborne precautions are necessary. The nurse should wear an N95 respirator mask when caring for the client, and the client should be placed in a negative pressure room. Airborne precautions include wearing a respirator mask, placing the client in a negative pressure room, and limiting the movement of the client outside the room.
Choice B rationale:
Droplet precautions are used for infections that are spread by large respiratory droplets, such as influenza or pertussis.
Choice C rationale:
Contact precautions are used for infections that are spread by direct or indirect contact with the client or their environment, such as scabies or Clostridium difficile.
Choice D rationale:
Protective precautions are used for clients who are immunocompromised and at risk of infection from others, such as those who have had a stem cell transplant or chemotherapy.
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