A nurse is working in an urgent care clinic when a client who does not speak the same language arrives with a laceration that will require suturing. Which of the following actions is appropriate for the nurse to take?
Have a family member who speaks the same language as the nurse explain the procedure to the client.
Contact a medical interpreter to assist in obtaining informed consent.
Ask an assistive personnel who speaks the same language as the client to assist in obtaining informed consent.
Request that the provider draw a diagram to explain the procedure to the client.
The Correct Answer is B
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.
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Related Questions
Correct Answer is D
Explanation
A. Discoloration at the postoperative site: Mild bruising or ecchymosis around the incision is common after arthroscopy and generally expected. It does not usually indicate a complication requiring immediate reporting.
B. Urinary output 150 mL/hr: A urinary output of 150 mL/hr is above the minimum expected hourly output (typically 30 mL/hr) and suggests adequate renal perfusion. This finding does not require immediate notification.
C. Client report of pain at the incision site: Some pain at the incision site is expected postoperatively. While pain should be managed, reporting to the provider is not urgent unless it is uncontrolled or accompanied by other concerning signs.
D. Blood pressure 78/38 mm Hg: Hypotension at this level is significant and can indicate hypovolemia, bleeding, or shock. Immediate reporting to the provider is necessary to prevent organ hypoperfusion and initiate prompt interventions.
Correct Answer is C
Explanation
A. Store the fire extinguisher in a locked cabinet: Fire extinguishers should be stored in an accessible location, not locked away. In an emergency, immediate access is critical, and a locked cabinet could delay response and worsen fire hazards.
B. Aim the extinguisher at the top of the fire and move downward: The correct technique is to aim at the base of the fire, where the fuel source is located. Spraying at the flames themselves is ineffective because it does not interrupt the combustion process at its source.
C. Sweep the extinguisher from side to side to put out the fire: Once aimed at the base of the fire, sweeping from side to side ensures the extinguishing agent covers the entire fuel source, maximizing effectiveness and helping to prevent re-ignition. This is the recommended method for safe and efficient fire suppression.
D. Open the windows prior to discharging the fire extinguisher: Opening windows before using an extinguisher can increase oxygen flow to the fire, potentially making it burn more intensely. Fire suppression should be performed with doors and windows closed if possible to limit oxygen supply and contain the fire.
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