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

Address all questions to the interpreter.

Use medical terminology when explaining the procedure.

Recommend an interpreter who is the same gender as the client

Answer and Explanation

The Correct Answer is B

It is essential to involve a qualified interpreter who can accurately convey information and ensure that the client fully understands the details of the procedure, potential risks, and benefits. The interpreter serves as a bridge between the nurse and the client, allowing for clear and accurate communication.

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Correct Answer is A

Explanation

It is recommended to perform postural drainage on an empty stomach to minimize the risk of vomiting and aspiration during the procedure. Therefore, scheduling it before meals or after an adequate time interval is important.

During percussion and vibration, the client should be instructed to exhale slowly and deeply to facilitate the mobilization and removal of mucus from the airways. Exhaling quickly may not provide the same beneficial effect.

Percussion is typically performed over the chest, not the lower back, to help loosen and mobilize secretions in the lungs. It involves rhythmic tapping with cupped hands over the specific lung segments while the client is in specific postural positions to facilitate drainage.

When performing percussion, placing a towel or cloth over the area being percussed dampens the vibrations during percussion.

A. Performing a simple dressing change B. Inserting an NG tube C. Changing IV tubing D. Evaluating the healing of an incision

Correct Answer is A

Explanation

Performing a simple dressing change is a task that can be safely delegated to an assistive personnel who has received appropriate training and competency validation. It involves removing the old dressing, cleaning the wound if necessary, and applying a new dressing

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing postural drainage with percussion and vibration for a client who has cystic fibrosis. Which of the actions should the nurse take?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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