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","D","E","F"]

Explanation

A) DKA can lead to several complications, including hypotension, which is indicated by the client's low blood pressure reading of 96/65 mm Hg.
B) Respiratory alkalosis is less likely because DKA typically leads to metabolic acidosis, as indicated by the low pH of 7.30.
C) DKA does not result in septic shock but it instead causes hypovolemic shock in case of severe dehydration.
D) Cardiac arrhythmias can occur due to the electrolyte imbalances, as evidenced by the high potassium level of 5.5 mEq/L.
E) Renal failure is another potential complication, suggested by the elevated creatinine level of 1.7 mg/dL. The client's hyperglycemia and dehydration can stress the kidneys, potentially leading to acute kidney injury or renal failure.
F) Cerebral edema is a less common but severe complication of DKA, especially in children and adolescents, and should be considered given the client's symptoms of frequent urination and extreme thirst. It results from over-hydration of the client.

A. "You will need to take an antiviral medication for 6 months." B. "You will need cryotherapy for 1 to 2 weeks," C. "You will need three follow-up blood tests within a 24-month period." D. "You will need to be monitored for 15 minutes after receiving each medication dose."

Correct Answer is C

Explanation

A. Syphilis is a bacterial infection, so antiviral medication is not appropriate.

Treatment typically involves antibiotics, such as penicillin.

B. Cryotherapy is not a standard treatment for primary syphilis. Antibiotics are the primary treatment.

C. This is in line with the treatment guidelines for syphilis, which involve antibiotic therapy and follow-up testing to ensure the infection is fully resolved. The tests are done at 3, 6, and 12 months after completion of treatment.
D. Monitoring after medication doses may be necessary for certain medications but is not specifically indicated for primary syphilis.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client in the emergency department. Exhibits The nurse is caring for the client in the ED. The nurse understands that the client is at risk of developing which of the following complications? Select all that apply.

Correct Answer is ["A","D","E","F"]

Explanation

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Correct Answer is C

Explanation

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