Nokea
The nurse is caring for a client who does not speak English. Which of the following actions should the nurse take to facilitate communication with the client? Select all that apply.
- A. Allow the client's spouse to act as the interpreter.
- B. Use short sentences when speaking to the interpreter.
- C. Ask if the client has a gender preference for the interpreter.
- D. Speak directly to the interpreter when providing information.
- E. Ensure the client understands the information provided via the interpreter.
Correct Answer: B,C,E
Rationale: Short sentences aid clarity. Gender preference respects cultural needs. Ensuring understanding confirms effective communication. Using a spouse risks bias, and speaking to the interpreter excludes the client.
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At a routine health assessment, a client tells the nurse that she is planning a pregnancy in the near future. She asks about preconception diet changes. Which of the statements made by the nurse is best?
- A. Include fibers in your daily diet.
- B. Increase green leafy vegetable intake.
- C. Drink milk for the calcium content.
- D. Eat foods rich in folic acid.
Correct Answer: D
Rationale: Eat foods rich in folic acid. Folic acid is essential for preventing neural tube defects in the developing fetus, making it a critical preconception dietary recommendation.
The nurse is contributing to a staff education program about cancer screening. Which of the following findings should the nurse suggest including as a possible warning sign of cancer?
- A. recent diagnosis of benign prostatic hyperplasia
- B. unintentional weight loss of 15 lb (6.8 kg) over the past 3 months
- C. a doughy, mobile, golf ball-sized lesion under the skin on the thigh
- D. a fever, productive cough, and hoarseness for the past 5 days
Correct Answer: B
Rationale: Unintentional weight loss is a cancer warning sign. BPH is benign, a mobile lesion is likely benign, and cough/fever suggest infection.
Which of the following beverages is most appropriate for a client with renal failure?
- A. Prune juice
- B. Grape juice
- C. Apple juice
- D. Apricot juice
Correct Answer: C
Rationale: Apple juice is most appropriate for a client with renalrape juice has a lower potassium content, which is crucial for renal failure patients who need to limit potassium intake. Prune, grape, and apricot juices are high in potassium, which can be harmful in renal failure.
A client with coronary artery disease and atrial fibrillation is being discharged home following coronary artery stent placement. Discharge medications are shown in the exhibit. The nurse identifies which educational topic as the highest priority to reinforce for this client?
- A. Bleeding risk
- B. Bronchospasm
- C. Muscle injury
- D. Tinnitus
Correct Answer: A
Rationale: Anticoagulants/antiplatelets for CAD/AF increase bleeding risk , the highest priority. Bronchospasm , muscle injury , and tinnitus are less relevant.
A hospitalized client with thyrotoxicosis receives atenolol 50 mg PO daily. Which statement by the nurse accurately reinforces the client's understanding of this medication's purpose?
- A. Atenolol is an iodine-based medication that blocks the release of thyroid hormones.
- B. It is used to treat some of the symptoms of hyperthyroidism, such as increased heart rate.
- C. This medication is radioactive and damages or destroys the thyroid tissue.
- D. This first-line antithyroid drug inhibits the synthesis of thyroid hormones
Correct Answer: B
Rationale: Atenolol is a beta-blocker that controls hyperthyroidism symptoms like tachycardia. It is not iodine-based , radioactive , or an antithyroid drug .