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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

A) Padding the upper two side rails of the client's bed helps prevent injury during a seizure by reducing the risk of head trauma.
B) Maintaining peripheral IV access may not directly address the client's safety during a seizure.
C) Teaching assistive personnel to apply restraints is not appropriate for managing seizures and may not be indicated unless other safety measures have failed.
D) Keeping a padded tongue blade at the client's bedside is not necessary and may not be safe if the client experiences a seizure.

A. Wear an N95 respirator when providing direct client care. B. Make sure the client's room has positive-pressure airflow. C. Make sure dietary plates and utensils are disposable. D. Monitor the client's temperature once every 6 hr.

Correct Answer is B

Explanation

A) While wearing an N95 respirator may be necessary for certain infections, it is not a routine precaution for clients in protective isolation.
B) Ensuring the client's room has positive-pressure airflow helps prevent the entry of airborne pathogens into the room, reducing the risk of infection for the immunocompromised client.
C) Using disposable plates and utensils helps reduce the risk of cross-contamination and infection transmission but is not directly related to airborne infection control.
D) Monitoring the client's temperature is important for assessing for signs of infection, but it does not directly prevent infection transmission in the same way as positive-pressure airflow.

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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?

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