A nurse is preparing to obtain information consent from a client who speaks a different language than the nurse and is scheduled for surgery. Which one of the following actions should the nurse take?

Choice A Reason:
Perform percussion over the lower back. Percussion is typically performed over the lung segments being drained, and it is commonly done with cupped hands to promote loosening and mobilization of mucus in the airways. In the case of cystic fibrosis, this procedure is typically done on the back to help clear mucus from the lungs.
Choice B Reason:
Cover the area of percussion with a towel. Placing a towel or cloth over the area of percussion helps to protect the skin and provide some comfort for the client during the procedure.

Choice CReason:
Schedule postural drainage after meals. Postural drainage is typically scheduled at times when the client is less likely to have a full stomach, as it can be uncomfortable and lead to nausea if performed immediately after meals. It's important to provide the client with time to digest before the procedure.

Choice DReason:
Instruct the client to exhale quickly during vibration. Vibration is often performed by having the client exhale quickly while the nurse applies gentle oscillations to the chest wall. This helps dislodge mucus and facilitate its removal.

Choice A Reason:
"I will tell the client's visitors to wear a mask when they are within 3 feet of the client" is not typically required for MRSA. Visitors may need to adhere to standard hand hygiene practices, but wearing a mask within a certain distance of the client is not a standard precaution for MRSA.
Choice B Reason:
"I will place the client in a private room." This statement is correct because clients with MRSA are often placed in private rooms to prevent the spread of the infection to other clients. Private rooms help to reduce the risk of transmission to other individuals in the healthcare facility.
Choice C Reason:
"I will wear an N95 respirator mask when caring for the client" is generally not necessary for routine care of clients with MRSA. N95 respirators are typically used when dealing with airborne infectious diseases. Standard precautions, including gloves and gowns, are usually sufficient for MRSA.
Choice D Reason:
"I will remove my gown before my gloves after providing client care" is not the recommended sequence. The correct sequence is to remove gloves first to avoid contaminating the hands while removing the gown. This practice is important for infection control.