A client requires an appendectomy. The surgeon explains the procedure and asks the client to sign the consent. The patient speaks very little English and looks worried. As a nurse, you would:

a. Suggest that an interpreter explain the procedure to the client and answer any questions.
b. Ask the client if he has any questions.
c. Draw a picture to show the incision.
d. Not intervene.


ANS: A
The Five Steps to Safer Patient Care identifies that encouraging patients to ask questions when there are doubts and concerns and ensuring understanding before surgery is performed are ways in which nurses can support patients in having greater influence in their own care. In this situation, asking an interpreter to help enables access to information for the patient and active assessment of his understanding.

Nursing

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From a health information technology perspective, health care research has faced some impediments. Which of the following has impeded health care research? Select all that apply

1. Slow adoption of uniform languages 2. Limited funding 3. Rapid adoption of data exchange standards 4. Confidentiality of private health information (PHI) 5. Failure to attain a birth-to-death electronic health record (EHR)

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A woman you are caring for during labor is having contractions 2 minutes apart but rarely over 50 mm Hg in strength; the resting tone is high, 20 to 25 mm Hg. She asks what she can do to make contractions more effective

Your best response would be that A) she needs to rest because her contractions are hypertonic. B) her physician will order oxytocin to strengthen contractions. C) hypotonic contractions of this kind will strengthen by themselves. D) walking around will make her contractions more regular.

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All of the following procedures would most likely be completed in an ambulatory care setting EXCEPT

a. deliveries of infants c. coronary artery by-pass grafting b. hemodialysis d. chemotherapy

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Formal grounded theory is analogous to "ready-to-wear" theory, appropriate at an abstract level for various substantive phenomena

A) True B) False

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