A client arrives only speaking Cambodian. The daughter is interpreting for her. What is the priority responsibility of the nurse?
Call the chaplain for support
Allow the unlicensed assistive personnel to interpret
Call for a Cambodian interpreter
Continue to work with the daughter for interpretation
The Correct Answer is C
The best thing to do is to involve a professional interpreter when there is a language barrier as the daughter may fail to provide accurate information if there is sensitive information needed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
If a client who has recently undergone an above knee amputation complains of pain distal to the amputation, the type of pain that the client is experiencing is most likely neuropathic pain. Neuropathic pain is a type of pain that occurs as a result of damage or dysfunction to the nervous system. It is often described as a burning, tingling, or shooting sensation and can be difficult to manage with traditional pain medications.
In the case of an amputation, neuropathic pain can occur as a result of the nerve endings in the remaining portion of the limb sending signals to the brain that are interpreted as pain. This can lead to the perception of pain in the "phantom" limb, which is no longer present.
Visceral pain is a type of pain that arises from the internal organs of the body, such as the stomach, intestines, bladder, or uterus. It is often described as a deep, dull, or pressure-like ache that can be difficult to localize or pinpoint to a specific area.
Nociceptive pain is a type of pain that occurs as a result of the activation of nociceptors, which are specialized nerve fibers that respond to noxious stimuli such as heat, cold, pressure, or chemical irritants. Nociceptors are found in various tissues throughout the body, including the skin, muscles, bones, and organs.
Cutaneous pain is a type of pain that arises from the skin or subcutaneous tissues. It is often described as a sharp, burning, or prickling sensation and can be caused by a variety of factors, such as injury, inflammation, or infection of the skin.
Correct Answer is C
Explanation
If a client begins to fall while the nurse is assisting with ambulation, the priority nursing intervention is to guide the client safely to the floor. The nurse should assist the client to fall as safely as possible to prevent further injury. The nurse should also stay with the client, assess their condition, and call for assistance if necessary.
Initiating a code or calling the client's doctor may not be necessary at this time, as the client's condition may not require such drastic measures. Similarly, calling the charge nurse may be helpful, but it is not the priority intervention in this scenario.
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