A nurse is preparing to perform preoperative care for a client who does not speak the same language as the nurse. The client has signed the informed consent form, but is refusing preoperative care. Which of the following actions should the nurse take?
Ask the client's son to explain the preoperative interventions.
Inform the provider about the situation with the client.
Reinforce the benefits of the surgery to the client.
Request another client who speaks the same language to act as an interpreter.
The Correct Answer is B
A. Ask the client's son to explain the preoperative interventions. This is not appropriate as it may lead to miscommunication and is not in line with professional standards for interpretation.
B. Inform the provider about the situation with the client. This is correct. The provider should be informed to address the client's refusal of preoperative care appropriately.
C. Reinforce the benefits of the surgery to the client. Reinforcing the benefits does not address the communication barrier and the client's immediate refusal.
D. Request another client who speaks the same language to act as an interpreter. This is inappropriate and breaches confidentiality. Professional interpreters should be used.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The parent of a school age child who has cystic fibrosis While personal experiences can be helpful, they may not provide comprehensive, evidence-based information.
B. The website for the Cystic Fibrosis Foundation This is a reliable source for accurate, evidence-based information about cystic fibrosis.
C. A commercial website that ends in ".com" Commercial websites can have biased or non-evidence-based information.
D. An assistive personnel who cares for a child who has cystic fibrosis While they may have practical insights, they are not typically the best source for detailed, evidence-based information.
Correct Answer is D
Explanation
A. Instruct the client to take a sitz bath three times a week. While sitz baths may provide symptom relief, they are not a primary intervention for treating a UTI.
B. Request a prescription for gabapentin. Gabapentin is used for neuropathic pain, not for treating UTIs.
C. Encourage the client to drink 2 oz of grapefruit juice each day. Grapefruit juice is not recommended for UTIs; cranberry juice is often suggested instead.
D. Increase the client's fluid intake to 3 L each day. Increasing fluid intake helps flush bacteria from the urinary tract and is a key intervention in managing UTIs.
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