Which of the following considerations is most likely to be true when working with an interpreter?
a. An interpreter is never needed if the nurse speaks the same language as the patient.
b. When working with interpreters, the nurse can use technical terms or metaphors.
c. A patient's young granddaughter who speaks fluent English would make the best interpreter because she is familiar with and loves the patient.
d. The nurse should face the patient rather than the interpreter.
D
The nurse should face the patient rather than the interpreter is a true statement; the intent is to converse with the patient, not with a third party about the patient. Statement A is not true; rea-sons may prevent the patient from speaking directly to a nurse. Statement B is not true; technical terms and metaphors may be difficult or impossible to translate. Statement C is not true; cultural restrictions may prevent some topics from being spoken of to a grandparent or child.
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The nurse is teaching the client about the proper way to take the prescribed antibiotics at home. The nurse concludes that the client needs further instruction if the client states:
1. "I will take the medication until it is all gone." 2. "I will stop taking the medication when the symptoms are gone." 3. "I will not skip any doses." 4. "I will call the physician if the symptoms worsen."
A hospital is considering implementing the use of critical pathways and case management
Which statements by a nurse would indicate to the nurse manager that more education should be provided? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "If we use critical pathways, we won't have physical therapy to help us ambulate clients." 2. "If a client is not able to follow the critical pathway, a variance will be written." 3. "The critical pathway lists discharge outcomes but won't help us with day-to-day guidance of care." 4. "Once the client is on a critical pathway, we must follow it until discharge." 5. "Using critical pathways will help us reduce length of stay and costs to the client."
The most lethal infection in an elderly patient is
A) Skin B) Optic C) Otic D) Urinary
The client takes diphenoxylate with atropine (Lomotil) for diarrhea. The client asks the nurse why he does not experience pain relief since this drug is an opioid. What is the best response by the nurse?
1. "This drug is not an opioid; did your doctor tell you that?" 2. "You would really have to take a lot to experience pain relief." 3. "It does provide some relief from the pain associated with diarrhea." 4. "Because this opioid does not have analgesic properties."