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

Provide the client with written information in their spoken language.

Speak very slowly during the teaching session.

Use medical terminology while explaining the medications.

Have the client's family member who is present interpret.

Answer and Explanation

The Correct Answer is A

Choice A reason: Providing the client with written information in their spoken language is the appropriate action for the nurse to take. This would ensure that the client understands the information and can refer to it later. It would also respect the client's culture and preferences.

Choice B reason: Speaking very slowly during the teaching session is not an appropriate action for the nurse to take. This would not improve the communication or comprehension of the client. It might also be perceived as patronizing or disrespectful by the client.

Choice C reason: Using medical terminology while explaining the medications is not an appropriate action for the nurse to take. This would confuse the client and hinder the learning process. The nurse should use simple and clear language that the client can understand.

Choice D reason: Having the client's family member who is present interpret is not an appropriate action for the nurse to take. This would compromise the accuracy and confidentiality of the information. It might also create a conflict of interest or a bias for the family member. The nurse should use a professional interpreter or a translation device if available.

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Correct Answer is B

Explanation

Choice A reason: The belief that the client has a difficult relationship with his son is not relevant for the change-of-shift report. This is a subjective and personal opinion that does not affect the client's care or recovery.

Choice B reason: The steps to follow when providing wound care is relevant for the change-of-shift report. This is an objective and clinical information that ensures the continuity and quality of the client's care.

Choice C reason: The time the client received his last dose of pain medication is not relevant for the change-of-shift report. This is a routine and standard information that can be found in the medication administration record or the electronic health record.

Choice D reason: The client's preferred time for bathing is not relevant for the change-of-shift report. This is a preference and not a priority information that can be communicated later or documented in the care plan.

A. A multigravida client who has preeclampsia and is receiving misoprostol for induction of labor B. A client who has gestational diabetes and is receiving biweekly nonstress tests C. A client who is at 32 weeks of gestation and has premature rupture of membranes D. A primigravida client who is 1 day postoperative following a Cesarean section and has a PCA pump

Correct Answer is D

Explanation

Choice A reason: A multigravida client with preeclampsia receiving misoprostol for induction of labor requires specialized obstetrical care due to the complexity of preeclampsia management, which includes monitoring blood pressure, administering antihypertensive agents, and managing potential complications. Misoprostol is used for cervical ripening and labor induction, which involves close monitoring for uterine activity and fetal well-being.

Choice B reason: A client with gestational diabetes undergoing biweekly nonstress tests would benefit from a nurse with obstetrical expertise. Gestational diabetes management includes monitoring blood glucose levels, dietary modifications, and possibly medication administration. Nonstress tests are performed to assess fetal well-being and require interpretation of fetal heart rate patterns in response to fetal movements.

Choice C reason: A client at 32 weeks of gestation with premature rupture of membranes (PROM) needs specialized obstetrical care. Management of PROM may involve expectant management or immediate delivery based on gestational age and fetal and maternal conditions. The risk of infection and complications necessitates obstetrical expertise.

Choice D reason: A primigravida client who is 1 day postoperative following a Cesarean section with a PCA pump is the most suitable assignment for an RN from a medical-surgical unit. Postoperative care involves monitoring vital signs, incision site, and managing pain with the PCA pump, which is within the scope of medical-surgical nursing practice.

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

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