A nonSpanish-speaking nurse is working with a 7-year-old client ...

[crobinson2013]

A nonSpanish-speaking nurse is working with a 7-year-old client who is able to speak English, but whose family speaks only Spanish. The nurse needs to give discharge instructions regarding the client's oral antibiotics.
 
  There are no Spanish-speaking interpreters available presently, but one will be able to come in about one hour. The nurse's most appropriate intervention would be: 1. To give the discharge instructions to the child.
 
  2. To give the discharge instructions to the parents, with the child acting as interpreter.
 
  3. To have the parents wait until an interpreter can be found to translate the discharge instructions.
 
  4. To obtain an English/Spanish translation book and use this to aid in giving discharge instructions to the parents.

Question 2

The nurse is caring for a child on bedrest who has severe edema in a left lower leg due to blocked lymphatic drainage. A priority nursing diagnosis would be:
 
  1. Risk for Imbalanced Nutrition: Less Than Body Requirements.
   2. Risk for Impaired Skin Integrity.
   3. Risk for Altered Body Image.
   4. Risk for Activity Intolerance.

[owenfalvey]

Answer to Question 1

3

Rationale:

1. A 7-year-old should not be the only person receiving discharge instructions, as this is not legally or developmentally appropriate.
2. A child's translation might be more self-serving than truthful.
3. Even though the family might have to wait before they can be discharged, the information is too important to rely on anything except a trained interpreter.
4. Using a translation leaves too much room for a potentially inadequate translation by the nurse.

Answer to Question 2

2
Rationale:
1. Nutrition would not take priority over the integrity of the skin for this scenario.
2. The highest-priority problem is skin integrity.
3. Body image would not take priority over the integrity of the skin for this scenario.
4. Activity intolerance would not take priority over the integrity of the skin for this scenario.

[crobinson2013]

TYSM

[kthug]

Excellent