A nurse is preparing a care plan for a client with limited English skills. The nurse has identified risk for impaired verbal communication as a nursing diagnosis. Which of the following interventions would be appropriate for this diagnosis?
A) Using an interpreter when communicating with the client
B) Asking a family member to act as an interpreter
C) Writing questions on a clip board for the client to read
D) Speaking loud and slow when attempting to communicate with the client
A
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The nurse receives a phone call from a 25-year-old woman experiencing breast tenderness in the week prior to her menses, with palpable breast nodularity, without nipple discharge. What is the best response by the nurse?
1. "Please make an appointment at the Breast Cancer center as soon as possible." 2. "How much salty food do you consume on a regular basis?" 3. "As long as you don't have nipple discharge, it isn't a serious condition." 4. "Eliminate caffeine and chocolate from your diet."
A patient with a ruptured abdominal aortic aneurysm needs to have major surgery. The family asks the nurse what type of anesthesia the patient will receive. The best response is which of the following?
a. Local anesthesia b. Regional anesthesia c. Moderate sedation d. General anesthesia
A nurse is showing a group of clients the correct way to move their body parts during their daily exercise regimen at a health care facility. Which of the following effects occurs when a person adheres to proper body mechanics?
A) Reduced skin breakdown B) Increased peripheral blood perfusion C) Reduced range of motion D) Increased muscle effectiveness
The nurse is instructing a patient about use of vaginal weight training. Which technique indicates that the patient accurately understands the nurse's teaching?
a. The patient inserts the largest cone and leaves it in place for 4-hour increments. b. The patient inserts the smallest cone and performs 10 Kegel exercises before re-moving it. c. The patient inserts the smallest cone and holds it in place with muscle tightening for 15 minutes before removing it. d. The patient inserts the largest cone and attempts to expel it with vaginal muscle tightening.