Question

1. A nurse is providing discharge teaching about home care of a surgical incision to a client who does not speak the same language as the nurse. The nurse is communicating with the client using an interpreter. Which of the following actions should the nurse take?

1. Use gestures to convey meaning.
2. Speak directly to the client.
3. Pause in the middle of sentences.
4. Speak slowly when talking to the interpreter

2. A nurse is providing teaching about exercise to a client who is at 28 weeks of gestation. Which of the following statements by the client indicates an understanding of the teaching?

1. “I can continue to do exercises that require the supine position.”
2. “I should check my pulse rate once every hour while exercising.”
3. “I should increase my exercise level to prepare to labor.”
4. “I should drink 16 to 24 ounces of water after I exercise.”

3. A nurse is providing discharge teaching to the parents of a toddler who has cystic fibrosis. Which of the following instructions should the nurse include?

a. “Use a nebulizer to administer a bronchodilator following airway clearance therapy.”

b. “Restrict intake of foods that contain gluten.”

c. “Perform chest percussion and postural drainage at least twice daily.”

d. “Administer pancreatic enzymes on an empty stomach.”

4. A nurse is developing a plan of care for a client who has preeclampsia and is to receive magnesium sulfate via continuous IV infusion. Which of the following actions should the nurse include in the plan?

1. Monitor the FHR via Doppler every 30 min.
2. Restrict the client’s total fluid intake to 250 mL/hr.
3. Give the client protamine if signs of magnesium sulfate toxicity occur.
4. Measure the client’s urine output every hour.

5. A nurse is planning discharge teaching for a client who is to start a new prescription for metoprolol. For which of the following should the nurse instruct the client to monitor and report to the provider?

1. Tinnitus
2. Polyuria
3. Hyperglycemia
4. Bradycardia

Answer 1

1.When an interpreter are used for patient communication they should be behind the patient and interpret when the medical professionals sit in front of the patient and converse directly establishing an eye contact.

Gestures should be avoided because there are high chances for wrong understanding and it is a manner of not respecting on certain culture

Pausing is not essential ,a complete sentence is required to understand

Speaking slowly is equally important

Ans:Speak directly to the client

2.Supine position exercise should be avoided as it can compress the superior vena cava and cause dizziness

The exercise should be gentle and mild and should not be aggressive can increase in intensity or duration as per the safe zone

Increasing exercise for labor is not indicated ot can lead to miscarriage

Hydration is mandatory so adequate water to be taken

Ans:I should drink 16 to 24 ounce of water after I exercise

3.Nebulization ,chest percussion, positioning can be done in hospital not in home

Pancreatic enzyme can be given as per order

Ans:Administer pancreatic enzymes on an empty stomach

4.The patient vital signs has to be measured continuously

The patient should be hydrated well

The drug will be eliminated via renal system so it is necessary to monitor urine output every hourly or half an hour once

Calcium gluconate is the to treat magnesium toxicity, protamine is for heparin drug

Ans:Measure the client's urine output hourly