A nurse is reinforcing teaching about self-care with a client who has pelvic inflammatory disease. The client does not speak English. Which of the following actions by the nurse is appropriate?

Ask the client's English-speaking family member to translate.

Use a translation dictionary to reinforce the teaching.

Seek assistance from a facility-approved interpreter.

Ask an assistive personnel (AP) who speaks the client's language to serve as an interpreter.

Answer and Explanation

The Correct Answer is C

Choice A: Ask the client's English-speaking family member to translate. This action is not appropriate because it may compromise the accuracy and confidentiality of the information. The family member may not have sufficient medical knowledge or vocabulary to translate correctly or may omit or alter some details due to personal bias or embarrassment.

Choice B: Use a translation dictionary to reinforce the teaching. This action is not appropriate because it may be time-consuming and ineffective. The translation dictionary may not have all the relevant terms or phrases or may provide inaccurate or ambiguous translations. The nurse may also lose the client's attention or interest by relying on the dictionary.

Choice C: Seek assistance from a facility-approved interpreter. This action is appropriate because it ensures the quality and clarity of the communication. The facility-approved interpreter is a professional who has the skills and training to provide accurate and unbiased translation of the information. The interpreter can also facilitate the interaction and feedback between the nurse and the client.

Choice D: Ask an assistive personnel (AP) who speaks the client's language to serve as an interpreter. This action is not appropriate because it may violate the scope of practice and ethical standards of the AP. The AP may not have the qualifications or authority to provide interpretation services or may have a conflict of interest or role confusion with the client. The AP may also have other duties or responsibilities that may interfere with the interpretation process.

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

Explanation

Choice A: Rectal incontinence is not the correct answer because it is not a disorder related to pelvic organ prolapse. Rectal incontinence is a condition that causes loss of control over bowel movements, resulting in leakage of stool or gas. It can be caused by various factors, such as nerve damage, muscle weakness, or diarrhea.

Choice B: Rectocele is the correct answer because it is a disorder related to pelvic organ prolapse. Rectocele is a condition that occurs when the rectum bulges into the vagina due to weakening of the pelvic floor muscles and connective tissue. It can cause symptoms such as constipation, difficulty emptying the bowel, or a feeling of pressure or fullness in the vagina.

Choice C: Urinary incontinence is the correct answer because it is a disorder related to pelvic organ prolapse. Urinary incontinence is a condition that causes loss of control over urination, resulting in leakage of urine or urgency to urinate. It can be caused by various factors, such as stress, urge, overflow, or mixed types of incontinence.

Choice D: Cystocele is the correct answer because it is a disorder related to pelvic organ prolapse. Cystocele is a condition that occurs when the bladder bulges into the vagina due to weakening of the pelvic floor muscles and connective tissue. It can cause symptoms such as frequent urination, difficulty emptying the bladder, or a feeling of pressure or fullness in the vagina.

Choice E: Enterocele is the correct answer because it is a disorder related to pelvic organ prolapse. Enterocele is a condition that occurs when the small intestine bulges into the vagina due to weakening of the pelvic floor muscles and connective tissue. It can cause symptoms such as lower back pain, pelvic pressure, or difficulty having bowel movements.

A. Danazol B. Penicillin C. Bromocriptine D. Tamoxifen

Correct Answer is B

Explanation

Choice A reason: Danazol is a synthetic androgen that can be used to treat fibrocystic breast disease, as it can reduce estrogen levels and shrink breast tissue.

Choice B reason: Penicillin is an antibiotic that has no effect on fibrocystic breast disease, as it does not target hormonal or cellular changes in the breast.

Choice C reason: Bromocriptine is a dopamine agonist that can be used to treat fibrocystic breast disease, as it can lower prolactin levels and reduce breast tenderness.

Choice D reason: Tamoxifen is an antiestrogen that can be used to treat fibrocystic breast disease, as it can block estrogen receptors and inhibit breast cell growth.

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A nurse is reinforcing teaching about self-care with a client who has pelvic inflammatory disease. The client does not speak English. Which of the following actions by the nurse is appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse reading a journal article about the care of a woman with pelvic organ prolapse would expect to find information on which disorder. Select all that apply.

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

Explanation

A nurse is working with a woman who has been diagnosed with severe fibrocystic breast disease. After describing the medications that can be used as treatment, the nurse determines that additional teaching is needed when the client identifies which drug is being used.

Correct Answer is B

Explanation

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