A nurse is reinforcing discharge teaching with a client who speaks a different language than the nurse. Which of the following actions should the nurse take?

Reinforce discharge teaching with the client's partner who speaks the languages of both the client and the nurse.

Ask a nurse from another unit who speaks the same language as the client to reinforce the discharge teaching.

Request that a medical interpreter assist with translating the discharge teaching for the client.

Use nonverbal communication with gestures to reinforce discharge teaching with the client.

Answer and Explanation

The Correct Answer is C

Choice A Reason:

Reinforcing discharge teaching with the client's partner who speaks the languages of both the client and the nurse is not appropriate. While involving the client's partner may be helpful, it's essential to ensure that the information is accurately and comprehensively translated. Relying solely on the partner may not guarantee clear communication.

Choice B Reason:

Asking a nurse from another unit who speaks the same language as the client to reinforce the discharge teaching is inappropriate. While this option might be helpful if such a nurse is available, it may not always be practical to find a nurse who speaks the specific language required. Additionally, the nurse's expertise in the discharge instructions may vary.

Choice C Reason:

Requesting that a medical interpreter assist with translating the discharge teaching for the client is appropriate. Using a medical interpreter ensures accurate and clear communication, reducing the risk of misunderstandings. It promotes effective communication between the nurse and the client, ensuring that important information about post-discharge care is accurately conveyed.

Choice D Reason:

Using nonverbal communication with gestures to reinforce discharge teaching with the client is inappropriate. While nonverbal communication and gestures can be supplementary, relying solely on them may not convey detailed information accurately. Important details about medications, follow-up appointments, and self-care may be lost without verbal communication.

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Correct Answer is D

Explanation

Choice A Reason:
Keeping the knees straight is not appropriate. It's advisable to bend the knees while lifting to engage the leg muscles and reduce strain on the back.

Choice B Reason:
Standing with the feet close together is not appropriate. Having a wider stance provides better stability and balance while lifting heavy objects, which is preferable to standing with the feet close together.

Choice C Reason:
Holding objects away from the torso is not appropriate. Keeping objects close to the body while lifting helps maintain control and reduces strain on the back. Holding objects away from the torso can increase the load on the back muscles and lead to injury.

Choice D Reason:
Aligning the back with the neck and feet is appropriate. This instruction emphasizes maintaining proper alignment of the body during lifting to reduce strain on the back muscles and minimize the risk of injury.

A. Wipe the eyes from the outer to the inner canthus. B. Apply eye patches over the eyes if the eyelids do not close completely. C. Cleanse the eyes with a chlorhexidine solution. D. Place moist compresses over the eyes every 2 to 4 hr. E. Instill lubricating eye drops into the lower lid of each eye.

Correct Answer is ["B","D","E"]

Explanation

Choice A Reason:

Wiping the eyes from the outer to the inner canthus is inappropriate. This direction of wiping might risk introducing contaminants into the eyes. It's generally advised to wipe from the inner to the outer canthus to minimize the risk of introducing potential eye irritants.

Choice B Reason:

Applying eye patches over the eyes if the eyelids do not close completely is appropriate. Eye patches help protect the eyes from potential damage, dryness, or exposure to light if the eyelids do not close fully.

Choice C Reason:

Cleansing the eyes with a chlorhexidine solution is inappropriate. Chlorhexidine solution might be too harsh for use around the delicate eye area and could cause irritation or damage to the eyes. Using a gentler and specifically formulated eye cleansing solution or sterile saline is usually recommended for eye care.

Choice D Reason:

Placing moist compresses over the eyes every 2 to 4 hours is appropriate. Moist compresses can help maintain moisture and prevent dryness in the eyes, reducing the risk of corneal damage due to the inability to blink.

Choice E Reason:

Instilling lubricating eye drops into the lower lid of each eyeis appropriate. Lubricating eye drops help prevent dryness and maintain eye moisture, offering protection to the cornea.

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A nurse is reinforcing discharge teaching with a client who speaks a different language than the nurse. Which of the following actions should the nurse take?

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