A nurse is reinforcing preoperative teaching with a client who speaks a different language than the nurse. Which of the following actions should the nurse take?

Ask a family member who speaks the client's primary language to interpret.

Plan a long teaching session initially to introduce the necessary material.

Provide the least important information first.

Provide handouts written in the client's primary language.

Answer and Explanation

The Correct Answer is D

A.   Ask a family member who speaks the client's primary language to interpret: While involving family members may seem helpful, it is not the most effective way to ensure accurate and complete communication. There may be language barriers or misunderstandings.
B.   Plan a long teaching session initially to introduce the necessary material: Lengthy teaching sessions may overwhelm the client and reduce their ability to absorb and retain information, especially when there is a language barrier.
C.   Provide the least important information first: This approach is not recommended because it does not prioritize the client's understanding of essential preoperative instructions.
D.   Provide handouts written in the client's primary language: Correct. Providing written materials in the client's primary language allows them to review the information at their own pace and increases the likelihood of understanding important preoperative instructions.

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Correct Answer is C

Explanation

A: While explaining the negative consequences of refusal is important, it may not change the client's decision, and respect for the client's autonomy must be upheld.
B: Discussing the treatment with the client's partner without the client's consent may breach patient confidentiality and privacy.
C: Correct. The nurse should document the client's refusal of the medical treatment in the client's medical record. This documentation is essential for legal and ethical purposes and to ensure that the refusal is adequately communicated to the healthcare team.
D: Trying to convince the client to undergo the treatment is not appropriate and may violate the principle of informed consent. The client has the right to refuse treatment after being adequately informed of the risks and benefits.

A. Check the capillary refill every 4 hrs B. Compare the pedal pulses every 4 hrs

Correct Answer is B

Explanation

A. Check the capillary refill every 4 hrs Incorrect
The nurse should check capillary refill distally every 4 hr for a client whops elastic bandages on their lower extremities.

B. Compare the pedal pulses every 4 hrs CORRECT
The nurse should compare the pedal pulses bilaterally every week to check for adequate circulation for a client who has elastic bandages on their
lower extremities.

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A nurse is reinforcing preoperative teaching with a client who speaks a different language than the nurse. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is refusing medical treatment. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is contributing to the plan of care for a client who has a prescription for elastic bandages to the lower extremities. Which of the following actions should the nurse recommend for the plan of care?

Correct Answer is B

Explanation

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