A nurse is admitting a client who is 1 week postpartum and reports excessive vaginal bleeding. The nurse speaks a different language than the client. The client's partner and 10-year-old child are accompanying her. Which of the following actions should the nurse take to gather the client's admission data?
Allow the client's partner to translate.
Ask a nursing student who speaks the same language as the client to translate.
Have the client's child translate.
Request a female interpreter through the facility.
The Correct Answer is D
A. Allow the client's partner to translate: Family members should not serve as interpreters due to concerns about accuracy, confidentiality, and potential bias in sensitive health information.
B. Ask a nursing student who speaks the same language as the client to translate: Using untrained personnel, including students, is discouraged because they may lack professional interpreting skills and could miscommunicate critical health information.
C. Have the client's child translate: Children are not appropriate interpreters due to their limited language skills, emotional immaturity, and potential to misinterpret medical information.
D. Request a female interpreter through the facility: A professional medical interpreter ensures accurate, confidential communication, respects cultural and gender preferences, and is the safest approach for gathering admission data, particularly regarding sensitive postpartum issues.
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Related Questions
Correct Answer is B
Explanation
Rationale:
A. Ensure that pork is included in the evening meal: Pork and pork-derived products are prohibited in Islam due to religious dietary laws. Serving pork would be culturally inappropriate and could cause distress to the client, as it violates halal dietary practices.
B. Schedule for meals to be served after sundown: During Ramadan, Muslims fast from dawn to sunset, abstaining from food and drink during daylight hours. Scheduling meals after sundown aligns with their religious observance and supports cultural sensitivity and nutritional needs.
C. Avoid red meat in the client's meals: Islam does not prohibit the consumption of red meat as long as it is halal-slaughtered. There is no religious requirement during Ramadan to avoid red meat, so this action is unnecessary unless restricted for other health reasons.
D. Wait 1 hr after the client consumes dairy to serve poultry: This practice is not part of Islamic dietary rules and is not relevant to Ramadan fasting. It has no religious basis and would not address the specific dietary considerations for a devout Muslim during Ramadan.
Correct Answer is A
Explanation
Rationale:
A. Increased creatinine: Chronic kidney disease reduces the kidneys’ ability to filter waste products effectively, causing creatinine to accumulate in the blood. Elevated creatinine is a key indicator of declining renal function and is expected in this condition.
B. Increased calcium: Clients with chronic kidney disease often have decreased calcium levels due to impaired vitamin D activation and phosphate retention. Increased calcium would be unusual unless the client is receiving supplementation.
C. Increased bicarbonate: Metabolic acidosis is common in chronic kidney disease because the kidneys cannot adequately excrete hydrogen ions or reabsorb bicarbonate. This typically results in decreased, not increased, bicarbonate levels in the blood.
D. Increased hemoglobin: Anemia frequently occurs in chronic kidney disease due to reduced erythropoietin production by the kidneys. This leads to lower hemoglobin levels, so an increase would not be expected unless treated with erythropoiesis-stimulating agents.
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