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 D
Explanation
A) Educating clients about maintaining a low-cholesterol diet is a form of primary prevention aimed at reducing risk factors for chronic diseases, but it does not directly address individuals already diagnosed with Parkinson's disease. This intervention focuses more on general health rather than managing an existing condition.
B) Providing screenings for early manifestations of Parkinson's disease represents secondary prevention, as it aims to identify the disease at an early stage to allow for timely intervention. However, this option does not apply to clients who already have Parkinson's disease, thus it is not a tertiary prevention strategy.
C) Educating clients about techniques used to diagnose Parkinson's disease is informative but primarily falls under secondary prevention. It pertains to awareness rather than actively managing the condition in those already diagnosed.
D) Providing daily exercise classes to improve ambulation for clients who have Parkinson's disease is a tertiary prevention strategy. This intervention focuses on rehabilitation and improving the quality of life for individuals already diagnosed with the disease, aiming to manage symptoms and prevent further complications associated with Parkinson's disease.
Correct Answer is B
Explanation
A. The client is observed mumbling quietly while alone in the day room: This behavior may be related to the client’s schizophrenia and is not necessarily indicative of an adverse effect from the antipsychotic medication. It is common for individuals with schizophrenia to exhibit such behaviors, which may not require reporting.
B. The client is observed displaying a shuffling gait while walking in the hall: A shuffling gait can indicate extrapyramidal symptoms, such as Parkinsonism, which are potential adverse effects of antipsychotic medications. This observation requires immediate reporting to the provider for further assessment and potential adjustment of the medication.
C. The client states, "Being in the sun seems to really hurt my eyes": Photosensitivity can occur with some medications, including antipsychotics, but it is not as urgent an issue as extrapyramidal symptoms. While this should be documented and addressed, it does not necessarily require immediate intervention.
D. The client states, "I feel light-headed when I stand up quickly": This symptom may indicate orthostatic hypotension, a common side effect of some antipsychotics. While it is important to monitor, it is less urgent than the motor symptoms associated with extrapyramidal effects, which can significantly impact the client’s safety and well-being.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.