A nurse must request an interpreter to provide important information to a client. Which of these nursing diagnoses for the client would be MOST appropriate in this situation?
a. Anxiety c. Health maintenance, altered
b. Communication, verbal, impaired d. Social interaction, impaired
B
When language differences impede communication, alternative methods of communication, such as gestures, pictures, or flash cards, can be useful tools. Members of a client's family may also be able to bridge the communication gap between nurse or health provider and client. If family members are unable to assist, an interpreter may be required.
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When teaching the diabetic who is taking insulin, the nurse emphasizes the importance of exercise to:
A) Prevent mental deterioration B) Often decrease insulin requirements C) Prevent muscle dystrophy D) Often improve visual acuity
Which of the following provide the most reliable data about the effectiveness of airway suctioning?
1) The amount, color, consistency and odor of secretions 2) The patient's tolerance for the procedure 3) Breath sounds, vital signs, and pulse oximetry before and after suctioning 4) The number of suctioning passes required to clear secretions
The nurse is reviewing maternal serum alpha-fetoprotein (MSAFP) results. Which conditions are associated with elevated levels of MSAFP? (Select all that apply.)
a. Fetal demise b. Neural tube defects c. Abdominal wall defects d. Chromosomal trisomies e. Gestational trophoblastic disease
The nurse is caring for a neonate on positive-pressure ventilation. The nurse monitors for which complications of positive-pressure ventilation? (Select all that apply.)
a. Pneumothorax b. Pneumomediastinum c. Respiratory distress syndrome d. Meconium aspiration syndrome e. Pulmonary interstitial emphysema