A nurse is preparing to perform preoperative care for a client who does not speak the same language as the nurse. The client has signed the informed consent form, but is refusing preoperative care. Which of the following actions should the nurse take?

Ask the client's son to explain the preoperative interventions.

Inform the provider about the situation with the client.

Reinforce the benefits of the surgery to the client.

Request another client who speaks the same language to act as an interpreter.

Answer and Explanation

The Correct Answer is B

A. Ask the client's son to explain the preoperative interventions. This is not appropriate as it may lead to miscommunication and is not in line with professional standards for interpretation.
B. Inform the provider about the situation with the client. This is correct. The provider should be informed to address the client's refusal of preoperative care appropriately.
C. Reinforce the benefits of the surgery to the client. Reinforcing the benefits does not address the communication barrier and the client's immediate refusal.
D. Request another client who speaks the same language to act as an interpreter. This is inappropriate and breaches confidentiality. Professional interpreters should be used.

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Correct Answer is D

Explanation

A. Levothyroxine 100 mcg PO qd "qd" is an error-prone abbreviation and should be avoided. It should be written as "daily."
B. Heparin 15,000 units SC q12h "SC" is an error-prone abbreviation and should be written as "subcutaneously."
C. Lorazepam 0.5 mg PO qhs "qhs" is an error-prone abbreviation and should be written as "at bedtime."
D. Acyclovir 400 mg PO tid This is correctly transcribed using acceptable abbreviations.

A. Hyperthyroidism B. Arthraiga C. Mutiple sclerosis D. Crohn's disease

Correct Answer is C

Explanation

A. Hyperthyroidism generally affects metabolism and does not typically cause dysphagia.
B. Arthraiga refers to joint pain and is not directly associated with dysphagia.
C. Mutiple sclerosis: This is correct. Multiple sclerosis is a neurological condition that can cause muscle weakness, coordination issues, and difficulty swallowing, all of which are factors in dysphagia.
D. Crohn's disease primarily affects the gastrointestinal tract and does not typically cause dysphagia.

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A nurse is preparing to perform preoperative care for a client who does not speak the same language as the nurse. The client has signed the informed consent form, but is refusing preoperative care. Which of the following actions should the nurse take?

Nursing Test Bank

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