a client arrives speaking only spanish what is the priority nursing intervention

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. A client arrives speaking only Spanish. What is the priority nursing intervention?

A. Give the client a tour of the unit
B. Verify the reason for admission
C. Request a medical interpreter
D. Call the chaplain for support

Correct answer: C

Rationale:

2. What activities should the client avoid after cataract surgery? (Select all that apply)

A. Blowing one’s nose
B. Bearing down during defecation
C. Lifting items heavier than 10 pounds
D. All of the Above

Correct answer: D

Rationale: After cataract surgery, the client should avoid activities that can increase intraocular pressure. Blowing one’s nose and bearing down during defecation can raise the pressure inside the eye, which can be harmful during the healing process. Lifting items heavier than 10 pounds can also lead to an increase in intraocular pressure. Therefore, all the activities mentioned in the choices (nose blowing, bearing down during defecation, and lifting heavy items) should be avoided after cataract surgery to promote proper healing and reduce the risk of complications.

3. What steps are NOT included in preparing a sterile field?

A. Do not turn away from the sterile field
B. Obtain PAPR mask
C. Prepare the client before setting up the sterile field
D. Cover the sterile field once it is set up

Correct answer: B

Rationale:

4. What finding is often present in a client with osteoporosis?

A. Chronic pain
B. Dupuytren’s contracture
C. Inflammation
D. Kyphosis

Correct answer: D

Rationale: Kyphosis is a common finding in osteoporosis due to vertebral compression fractures. Chronic pain (Choice A) can occur in osteoporosis but is not a specific finding. Dupuytren’s contracture (Choice B) is a condition affecting hand fingers' connective tissue, not typically associated with osteoporosis. Inflammation (Choice C) is not a typical finding in osteoporosis but rather a characteristic of other conditions.