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?
Ask a nursing student who speaks the same language as the client to translate.
Allow the client's partner to translate.
Request a female interpreter through the facility.
Have the client's child translate.
The Correct Answer is C
A. Ask a nursing student who speaks the same language as the client to translate: This is not appropriate, as the nursing student may not be trained in medical terminology or confidentiality, which could lead to miscommunication and potential breaches of privacy.
B. Allow the client's partner to translate: While the partner may understand the language, this approach can create conflicts of interest, and they may not be able to convey the full medical context or sensitive information accurately.
C. Request a female interpreter through the facility: This is the best action. Using a trained, professional interpreter ensures that the communication is accurate and confidential, allowing the nurse to gather necessary admission data effectively while respecting the client's comfort and cultural needs.
D. Have the client's child translate: It is not appropriate to involve a child in medical discussions, as they may not fully understand the context or terminology and could feel overwhelmed by the responsibility.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Have the child take a tub bath each morning:Warm tub baths can help alleviate morning stiffness and improve joint mobility in children with juvenile idiopathic arthritis. This intervention can be soothing and help the child start the day with less discomfort, promoting better overall function and quality of life.
B) Encourage the child to take naps during the day:While rest is important, excessive napping can lead to decreased physical activity, which may worsen joint stiffness and reduce muscle strength. It is more beneficial to encourage regular, gentle exercise and activity throughout the day.
C) Apply splints to the child’s extremities during the day:Splints are typically used at night to prevent joint deformities and maintain proper alignment. During the day, it is important for the child to remain active and use their joints to maintain mobility and strength.
D) Keep the child on bedrest as long as pain persists:Prolonged bedrest can lead to muscle atrophy and joint stiffness, which can worsen the child’s condition. Encouraging gentle movement and activity, even when experiencing pain, is crucial for managing juvenile idiopathic arthritis effectively.
Correct Answer is B
Explanation
A) "Decrease the ventilator flow rate.": Lowering the flow rate may not address the underlying issue causing the high-pressure alarm and could potentially worsen the client's respiratory distress. It is essential to identify and manage the cause first.
B) "Deliver breaths manually with a resuscitation bag.": This is the most appropriate immediate action. Manually providing breaths ensures the client receives adequate ventilation while the nurse assesses the situation. This intervention prioritizes the client's safety and oxygenation during respiratory distress.
C) "Assess for disconnected tubing.": While checking for disconnected tubing is an important step in troubleshooting the alarm, it may take time to assess and does not provide immediate support to the client in respiratory distress. Ensuring adequate ventilation is the priority.
D) "Reevaluate the client for an ET cuff leak.": Evaluating for an ET cuff leak is relevant but is not the most urgent action in this situation. The high-pressure alarm indicates an immediate problem that requires rapid intervention, such as manual ventilation, to stabilize the client.
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