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?

Have the client's child translate.

Allow the client's partner to translate.

Request a female interpreter through the facility.

Ask a nursing student who speaks the same language as the client to translate.

Answer and Explanation

The Correct Answer is C

A.   Using a child as an interpreter can be inappropriate and may not ensure accurate communication, especially for sensitive topics such as medical history and symptoms.
B.   While involving the client's partner may seem helpful, it may not ensure accurate translation, and the partner may not be proficient in medical terminology.
C.   Requesting a female interpreter through the facility ensures accurate and confidential communication while respecting the client's cultural preferences and privacy.
D.   While asking a nursing student who speaks the same language as the client may seem convenient, it may not ensure accurate translation, and the student may not have the necessary training in medical interpretation.

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Correct Answer is D

Explanation

A. Primary glaucoma is not typically considered a contraindication to kidney donation.
B. Amputation, unless associated with significant underlying medical conditions, is not necessarily a contraindication to kidney donation.
C. Osteoarthritis, a degenerative joint disease, is unlikely to be a contraindication to kidney donation unless it significantly affects the donor's overall health.
D. Hypertension is a significant risk factor for kidney disease and can increase the risk of complications for both the donor and the recipient. It is typically considered a contraindication to kidney donation.

A. Eat 1 g/kg of protein per day. B. Consume foods high in potassium. C. Take magnesium hydroxide for indigestion. D. Drink at least 3 L of fluid daily.

Correct Answer is A

Explanation

A. For clients receiving hemodialysis, maintaining adequate protein intake is essential because dialysis can remove protein from the blood. The recommended intake is typically about 1 g/kg/day, which helps replace losses and supports overall health.
B. Consume foods high in potassium. Clients with chronic kidney disease often need to restrict potassium intake due to impaired kidney function and the risk of hyperkalemia.
C. Take magnesium hydroxide for indigestion. Clients with chronic kidney disease should avoid magnesium-containing antacids due to the risk of magnesium accumulation and toxicity.
D. Drink at least 3 L of fluid daily. Fluid intake usually needs to be restricted in clients undergoing hemodialysis because their kidneys cannot effectively remove excess fluid, which can lead to complications like hypertension and pulmonary edema.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has end-stage kidney disease. The client's adult child asks the nurse about becoming a living kidney donor for their parent. Which of the following conditions in the child's medical history should the nurse Identify as a contraindication to the procedure?

Correct Answer is D

Explanation

A nurse is providing discharge teaching to a client who has chronic kidney disease and is receiving hemodialysis. Which of the following Instructions should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is providing dietary teaching to a client who has a new diagnosis of irritable bowel syndrome. Which of the following recommendations should the nurse include?

A nurse is preparing to catheterize a toddler for a urine culture. Which of the following is an appropriate action for the nurse to take?

A nurse is planning to administer vancomycin IV to a client. Which of the following actions should the nurse take to reduce the risk of an adverse reaction to the vancomycin?

A nurse is providing teaching to a client who has thrombocytopenia following chemotherapy. Which of the following statements Indicates an understanding of the teaching?

A nurse in a long-term care facility is admitting a client who has dementia. Which of the following actions should the nurse take to reduce the risk for client injury?

A nurse is providing discharge teaching to a client who is postoperative following surgery for carpal tunnel syndrome. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is planning care for a client who is scheduled to receive a peripherally inserted central catheter in the arm. Which of the following interventions is appropriate for the nurse to include in the plan of care?

A nurse in labor and delivery is caring for a client who is at 30 weeks of gestation. Exhibits Select 1 condition and 1 client finding to fill in each blank in the following sentence. The client is at risk for developing dropdown due to dropdown.