A nurse is preparing to obtain informed 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
Address all questions to the interpreter.
Use medical terminology when explaining the procedure.
Recommend an interpreter who is the same gender as the client
The Correct Answer is B
It is essential to involve a qualified interpreter who can accurately convey information and ensure that the client fully understands the details of the procedure, potential risks, and benefits. The interpreter serves as a bridge between the nurse and the client, allowing for clear and accurate communication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Mixing medications in a syringe can lead to potential drug interactions, changes in medication efficacy, or altered drug absorption. Each medication should be administered separately to maintain their individual therapeutic effects.
B. Each medication should be diluted with sterile water to ensure it can pass through the NG tube without clogging and to facilitate proper absorption.
C.Flushing the NG tube with 5 mL of sterile water is generally not enough. The tube should be flushed with a sufficient amount of water (usually 15-30 mL) before and after administering medications to ensure that the medications are delivered properly and to prevent clogging.
D.Medications should not be combined with the formula in the feeding bag. This can alter the effectiveness of both the medications and the feeding formula.
Correct Answer is B
Explanation
The nurse's priority finding in this case would be a change in appearance of a mole on the shoulder. Changes in the appearance of moles can be an indication of skin cancer or melanoma, which is a serious and potentially life-threatening condition. It is important for the nurse to assess the mole further and report any concerning changes to the healthcare provider for appropriate evaluation and management. The other findings, such as skin tags, a flat discolored area of skin, or atrophic fingers, may require further assessment and interventions, but they are not as immediately concerning as a potential change in a mole that could indicate skin cancer.
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