A nurse is planning to use an interpreter during a health history interview of a non-English speaking patient and family. Which nursing care guidelines should the nurse include when using an interpreter? (Select all that apply.)

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Question 1 of 5

A nurse is planning to use an interpreter during a health history interview of a non-English speaking patient and family. Which nursing care guidelines should the nurse include when using an interpreter? (Select all that apply.)

Correct Answer: A

Rationale: Elicit one answer at a time: By eliciting one answer at a time, the nurse can ensure clarity in communication and prevent confusion or information overload for both the patient and interpreter.

Question 2 of 5

A 3-year-old with croup has the following vital signs: HR 90, RR 44, BP 100/52, T 98.8°F. The parents ask if these are normal. The nurse's best response is:

Correct Answer: C

Rationale: The elevated respiratory rate is concerning since normal for a 3- to 6-year-old is about 20-30 breaths per minute.

Question 3 of 5

You are discussing the risk of radiotherapy with the parents of a child with medulloblastoma; the mother has a concern about the late neurological complications post radiotherapy. The statement that should be included in the discussion that late neurological sequelae post radiotherapy is more severe with

Correct Answer: B

Rationale: Younger children (<3 years) are more susceptible to long-term neurotoxic effects of radiotherapy.

Question 4 of 5

A 19 y.o. student develops trigeminal neuralgia. Which of the ff. actions will most likely aggravate her pain?

Correct Answer: C

Rationale: Trigeminal neuralgia is a condition characterized by sudden and severe facial pain caused by irritation or damage to the trigeminal nerve. Trigeminal neuralgia pain is often triggered by certain activities that stimulate the nerve, such as eating, talking, or brushing teeth. The act of chewing and ingesting food can put pressure on the trigeminal nerve, leading to increased pain for individuals suffering from trigeminal neuralgia. Therefore, eating is most likely to aggravate the pain in a 19-year-old student with trigeminal neuralgia.

Question 5 of 5

A 48-year-old patient has been prescribed trihexyphenidyl for her Parkinson's disease. Which adverse reaction to this drug can be close-related?

Correct Answer: C

Rationale: Trihexyphenidyl is an anticholinergic medication commonly used to treat symptoms of Parkinson's disease. Anticholinergic drugs work by blocking the action of acetylcholine, a neurotransmitter in the nervous system. One common side effect of anticholinergic medications like trihexyphenidyl is dryness of the mouth (xerostomia). This occurs because the drug interferes with the normal functioning of the salivary glands, leading to reduced saliva production. Excessive salivation (choice A) is unlikely due to the drying effect of the medication. Bradycardia (choice B) is not typically associated with trihexyphenidyl use. Constipation (choice D) is another common adverse effect of anticholinergic medications, but dryness of the mouth is more closely related in this scenario.

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