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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale:

Emptying the drainage bag when it is three-quarters full helps prevent urinary stasis and potential infections.

Choice B rationale:

Taping the catheter to the lower abdomen is not a recommended practice and may cause trauma to the catheter site.

Choice C rationale:

Keeping the drainage bag below the level of the bladder ensures continuous drainage and prevents urine reflux into the bladder.

Choice D rationale:

Attaching the drainage bag to the side rails of the bed is not appropriate, as it may impede proper drainage and increase the risk of infection.

A. Calcium 9.6 mg/dL B. Potassium 5.8 mEq/L C. Magnesium 1.9 mEq/L D. Sodium 140 mEq/L

Correct Answer is B

Explanation

- A. Calcium 9.6 mg/dL: This value is within the normal range for calcium, which is typically between 8.7 to 10.2 mg/dL. Therefore, this value does not need to be reported to the provider.
- B. Potassium 5.8 mEq/L: This value is above the normal range for potassium, which is generally between 3.5 to 5.0 mEq/L. Elevated potassium levels can be dangerous and may indicate hyperkalemia, which requires prompt medical attention.
- C. Magnesium 1.9 mEq/L: This value falls within the normal range for magnesium, which is usually between 1.6 to 2.2 mg/dL. Thus, this is not a value that would typically be reported to the provider.
- D. Sodium 140 mEq/L: This value is within the normal range for sodium, which is commonly between 135 to 145 mEq/L. As such, it does not need to be reported to the provider.

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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?

Nursing Test Bank

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