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A nurse is admitting a client who speaks a different language than the nurse.
Which of the following actions should the nurse take?

A. Telephone the interpreter that is designated for the facility to interpret the information.

B. Call a nursing colleague who speaks the same language as the client to interpret the information.

C. Ask the client's partner to interpret the information.

D. Use an electronic translating service from the internet to interpret the information.

This question is an excerpt from Nurse Dive's nursing test bank - ATI custom fundamentals final proctored exam fall 2023. Take the full exam now


Full Explanation


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QUESTION

A nurse in an emergency department is performing triage on a group of clients.
Which of the following clients should the nurse see first?

A. A client who has heart failure and peripheral edema.

B. A client who has cirrhosis of the liver and bruising on their arms.

C. A client who reports urinary burning and a temperature of 39.2° C (102.5° F).

D. A client who has a new onset of atrial fibrillation and a heart rate of 152/min.

Atrial fibrillation with a rapid heart rate can lead to decreased cardiac output and compromised blood flow, which can have serious consequences, including stroke and heart failure. Therefore, this client requires immediate attention to assess and manage the cardiac rhythm. While the other clients also have significant health concerns, they are not as acutely life-threatening as a new onset of atrial fibrillation with a high heart rate. Prioritizing care based on the urgency and severity of the condition is crucial in the emergency department setting.

Full Explanation

Atrial fibrillation with a rapid heart rate can lead to decreased cardiac output and compromised blood flow, which can have serious consequences, including stroke and heart failure. Therefore, this client requires immediate attention to assess and manage the cardiac rhythm.

While the other clients also have significant health concerns, they are not as acutely life-threatening as a new onset of atrial fibrillation with a high heart rate. Prioritizing care based on the urgency and severity of the condition is crucial in the emergency department setting.

QUESTION
A nurse is conducting an in-service for hospice nurses about interventions to reduce the risk for compassion fatigue.
Which of the following interventions should the nurse include?

A. Work through lunch breaks.

B. Volunteer at a health clinic on days off work.

C. Perform daily exercise.

D. Request to work additional shifts.

Full Explanation

QUESTION
A community health nurse is caring for a client who has noticed that their drinking water isn't clear and reports they haven't been feeling well.
The nurse should identify the client is at risk for which of the following conditions?

A. Stroke.

B. Asthma.

C. Waterborne disease.

D. Clostridium difficile.

Full Explanation