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 A
Explanation
Choice A rationale:
Performing a simple dressing change is a task that can be delegated to assistive personnel.
Choice B rationale:
Evaluating the healing of an incision requires nursing judgment and assessment skills, making it more appropriate for the nurse to perform.
Choice C rationale:
Inserting an NG tube is a complex procedure that requires specific nursing skills and should not be delegated to assistive personnel.
Choice D rationale:
Changing IV tubing involves critical steps and should be performed by the nurse to ensure patient safety.
Correct Answer is D
Explanation
Choice A rationale:
Administering oral contrast before the procedure is not a standard preparation for an intravenous pyelogram, which primarily involves imaging of the urinary system.
Choice B rationale:
Ensuring the client is free of metal objects is important for tests that use magnetic fields, such as MRI or CT scan, but not for an intravenous pyelogram.
Choice C rationale:
Monitoring the client for pain in the suprapubic region is relevant post-procedure but is not a pre-procedural action. Monitoring the client for pain in the suprapubic region is not a specific action for this test, as pain may occur in any part of the urinary tract due to the contrast dye.
Choice D rationale:
An intravenous pyelogram is a diagnostic test that uses an injection of contrast dye to visualize the kidneys, ureters, and bladder. Bowel cleansing prevents interference with the visualization of the urinary tract. The contrast dye may cause constipation, so the client needs to have a bowel cleansing before the procedure to prevent complications.
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