A client who is deaf and communicates using sign language is being admitted by a nurse who does not know sign language. Which of the following actions should the nurse take?
Obtain a board that uses colored pictures as communication.
Request an interpreter during the initial assessment.
Familiarize themselves with commonly used signed language.
Ask a family member to be present during the admission.
The Correct Answer is B
A) Using a communication board with colored pictures might not effectively facilitate communication for someone who primarily uses sign language.
B) Requesting an interpreter during the initial assessment ensures effective communication between the nurse and the client.
C) Familiarizing themselves with commonly used signed language may help the nurse in the long term but may not be feasible or effective during the immediate admission process.
D) Asking a family member to be present during the admission may help but may not provide the necessary communication support for effective assessment and care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Shellfish has no known interactions with propofol.
B. Propofol, a commonly used anesthetic agent, contains egg lecithin as an emulsifier. Therefore, individuals with egg allergies are at risk of having an allergic reaction to propofol. It's essential for the nurse to identify this allergy to ensure the client's safety during the administration of anesthesia.
C. Strawberries do not interact with propofol.
D. Avocados do not interact with propofol.
Correct Answer is ["B","C","D"]
Explanation
A) Infusing 0.9% sodium chloride is incorrect as it's not appropriate for TPN administration.
B) Obtaining the client's weight daily helps to monitor nutritional status and adjust TPN accordingly.
C) Monitoring serum blood glucose is essential due to the high glucose content in TPN, which can lead to hyperglycemia.
D) Verifying the solution with another RN prior to infusion is a safety measure to ensure the correct solution and dosage.
E) Increasing the rate of infusion if administration is delayed may lead to complications and is not appropriate without medical orders.
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