The nurse should do which of the following when using an interpreter to facilitate communication with a client with a language barrier?
1. Direct all questions to the interpreter.
2. Face the client and direct questions to the client.
3. Ensure that family is present to avoid errors in communication.
4. Ask the interpreter to write down all answers.
ANS: 2
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The client at 18 weeks' gestation thinks she might have been exposed to a toxin at work that could affect fetal development. The client asks the nurse what organs might be affected at this point in pregnancy. The best response of the nurse is:
1. "The brain is developing now, and could be affected." 2. "Because you are in the second trimester, there is no danger." 3. "The internal organs like the heart and lungs could be impacted." 4. "It's best to not worry about possible problems with your baby."
A patient was scheduled for a laparoscopic cholecystectomy, but complications developed and he underwent an open cholecystectomy with a T-tube inserted into the common bile duct. What is the purpose of the T-tube?
a. To decompress the duct and relieve pain caused by stimulation of the sphincter of Oddi. b. To improve diaphragmatic expansion and prevention of atelectasis. c. To shorten postoperative recovery and hasten the healing process. d. To keep the duct open and allow drainage of the bile until edema resolves.
The nurse has reinforced the treatment plan for the administration of normal human serum albumin (Albutein) for a client recovering from hypovolemic shock. Which statement made by the client indicates an understanding of the information?
A. "The prescription is a protein that pulls water into my blood vessels." B. "The prescription is a protein that causes my kidneys to conserve fluid." C. "The prescription is a super-concentrated salt solution that helps my body conserve fluid." D. "The prescription is a liquid that has electrolytes in it to pull water into my blood vessels."
The nurse suspects that a home care client is experiencing the tension-building phase within the cycle of violence. What observations caused the nurse to make this clinical determination? Select all that apply
1. Spouse ignoring the client 2. Spouse yelling at the client 3. Client asking the nurse to leave 4. Client apologizing to the spouse 5. Spouse throwing items at the client