When no interpreter is available, nurses should do all of the following except
1. Discuss one topic at a time to avoid confusion.
2. Obtain phrase books from a library or bookstore.
3. Pantomime words with simple actions while verbalizing.
4. Speak loudly to emphasize the importance of what you are saying.
5. Try a third language or Latin phrases if possible.
ANS: 4
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The nurse is performing a focused interview with a 79-year-old client. Which of the following statements by the client is unexpected?
1. "I have been having loose stools every day for the last 3 years.". 2. "I know I just don't drink as much water as I should.". 3. "My belly seems softer and flabbier as I get older.". 4. "My mouth is always dry.".
A family is preparing for travel and the parents report that their 5-year-old child has frequent motion sickness. The nurse will tell the parents to ask the provider about which antihistamine to help prevent symptoms?
a. Desloratadine [Clarinex] b. Dimenhydrinate [Dramamine] c. Hydroxyzine [Vistaril] d. Promethazine [Phenergan]
The nurse notes that the tongue of the client who has undergone a Billroth II operation has taken on a shiny, beefy appearance. What conclusion can the nurse draw from this informa-tion?
A. The client requires further instruction regarding postoperative oral hygiene. B. The client is exhibiting symptoms of vitamin B12 deficiency. C. The client has developed protein-calorie malnutrition. D. The client is exhibiting symptoms of alkaline reflux.
A patient tells the nurse, "I'm ashamed of being bipolar. When I'm manic, my behavior embarrasses everyone. Even if I take my medication, there are no guarantees. I'm a burden to my family." These statements support which nursing diagnoses?
Select all that apply. a. Powerlessness b. Defensive coping c. Chronic low self-esteem d. Impaired social interaction e. Risk-prone health behavior