A nurse is preparing to obtain informed consent from a client who speaks a different language than the nurse and is scheduled for surgery.
Which of the following actions should the nurse take?
Have the client nod to indicate understanding.
Recommend an interpreter who is the same gender as the client.
Use medical terminology when explaining the procedure.
Address all questions to the interpreter.
The Correct Answer is B
This statement indicates that the nurse should take steps to ensure effective communication with the client by recommending an interpreter who is the same gender as the client.
This can help to facilitate understanding and comfort during the informed consent process.
Choice A is wrong because nodding alone is not sufficient to indicate understanding.
Choice C is wrong because using medical terminology can be confusing and may not facilitate understanding.
Choice D is wrong because questions should be addressed directly to the client, with the interpreter facilitating communication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
“This test will provide information about the function of your liver.” An alanine aminotransferase (ALT) test measures the level of ALT in the blood, which is an enzyme found primarily in the liver.
Elevated levels of ALT can indicate liver damage or disease.
Choice A, “This test will indicate if you are at risk for developing blood clots,” is not correct as an ALT test does not provide information about blood clot risk.
Choice B, “This test will determine if your heart is performing properly,” is not correct as an ALT test does not provide information about heart function.
Choice D, “This test is used to check how your kidneys are working,” is not correct as an ALT test does not provide information about kidney function.
Correct Answer is B
Explanation
The nurse should first identify the impact of the mastectomy on the client’s body image.
This is because the client’s behavior of avoiding looking at her dressings and being tearful suggests that she may be struggling with changes to her body image after the surgery.
By identifying and addressing this issue, the nurse can provide appropriate emotional support and interventions to help the client cope with these changes.
Choice A is not the first action the nurse should take because referring the client to a breast cancer support group may be helpful, but it is not addressing the immediate concern of the client’s emotional state.
Choice C is not the first action because encouraging the client to assist with her dressing changes may be premature if she is still struggling emotionally with her body image.
Choice D is not the first action because providing the client with a mirror to look at her mastectomy incisions may be overwhelming for her if she is not yet ready to confront her changed appearance.
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