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 C
Explanation
A) Tinnitus: This is not typically associated with pneumonia. Tinnitus refers to ringing in the ears and is more related to auditory issues rather than respiratory infections.
B) Drooling: While drooling may occur in some cases of severe throat infections or in children with difficulty swallowing, it is not a classic sign of pneumonia.
C) Fever: This is the correct answer. Fever is a common manifestation of bacterial pneumonia in children, indicating an immune response to infection. It often accompanies other symptoms like cough and difficulty breathing.
D) Steatorrhea: This refers to fatty stools, which are more associated with malabsorption syndromes or pancreatic issues, not pneumonia. It is not an expected manifestation of bacterial pneumonia.
Correct Answer is A
Explanation
A) Assault:Assault refers to an intentional act that creates a reasonable apprehension of imminent harmful or offensive contact. In this scenario, the newly licensed nurse’s statement about inserting a urinary catheter if the client does not void can be perceived as a threat, causing the client to fear an unwanted procedure.
B) Libel:Libel involves making false, defamatory statements in written form that harm someone’s reputation. This option is not applicable in this context, as the nurse’s statement was verbal and did not involve written defamation.
C) Negligence:Negligence occurs when a healthcare provider fails to meet the standard of care, resulting in harm to the client. While the nurse’s statement may be inappropriate, it does not constitute negligence, as it does not involve a breach of the standard of care leading to harm.
D) Battery:Battery involves intentional physical contact with another person without their consent. In this case, the nurse has not yet performed any physical act, so battery has not occurred. The threat alone constitutes assault, not battery.
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