A nurse is reinforcing teaching about bottle feeding techniques with the guardian of a newborn. Which of the following statements by the guardian indicates an understanding of the teaching?

A. Administer bupropion 1 hr before meals: Bupropion is contraindicated in clients with bulimia nervosa due to an increased risk of seizures. Antidepressants such as SSRIs, like fluoxetine, are preferred for managing bulimia and comorbid depression.

B. Allow the client access to food throughout the day: Unrestricted access to food can trigger binge-eating episodes in clients with bulimia nervosa. Structured meal planning with scheduled eating times is more effective in reducing binge-purge behaviors.

C. Weigh the client once weekly: Weekly weighing is insufficient for monitoring rapid weight fluctuations associated with bulimia. Daily or more frequent monitoring, combined with close observation, is recommended to identify sudden changes and ensure safety.

D. Observe the client for 1 hr after meals: Post-meal observation helps prevent purging behaviors, such as self-induced vomiting or misuse of laxatives. This intervention directly addresses the core pathology of bulimia nervosa and supports safety and behavioral modification strategies.

A. Have a family member who speaks the same language as the nurse explain the procedure to the client: Using a family member to interpret can lead to miscommunication, omissions, or bias, and may violate the client’s right to accurate information. Professional interpretation ensures understanding and protects informed consent.

B. Contact a medical interpreter to assist in obtaining informed consent: A professional medical interpreter provides accurate translation, ensures the client understands the procedure, risks, benefits, and alternatives, and helps meet legal and ethical requirements for informed consent. This action promotes patient safety and autonomy.

C. Ask an assistive personnel who speaks the same language as the client to assist in obtaining informed consent: Assistive personnel are not qualified to provide detailed explanations of procedures or obtain consent. Using them in this role can compromise accuracy and legality, making it inappropriate.

D. Request that the provider draw a diagram to explain the procedure to the client: While visual aids can support understanding, they do not replace verbal communication or translation. Diagrams alone are insufficient for obtaining informed consent from a client who does not speak the same language as the provider.