If the nurse suspects that a patient has delirium, which of the following factors should be further investigated?
a. UTI
b. medications
c. oxygen saturation
d. all of the above
Question 2
The daughter of an 80-year-old Spanish client reports that her mother seems not to understand what the doctor tells her about her disease and the treatment plan. She asks whether an interpreter is present when he talks to her mother.
You explain that every attempt to have someone translate information to her mother is being done, but sometimes it is not possible. However, you acknowledge that this may not be effective care for this patient. To meet the national standards for Culturally and Linguistically Appropriate Services (CLAS) in healthcare, the nurse would
A) continue to monitor the patient and offer explanations using common symbols.
B) report the problem to the doctor.
C) revise the plan of care to ensure an interpreter is present at all times.
D) ask the daughter to be present whenever anyone speaks to the client.
The nurse conducts the health history as the first step in the nursing assessment
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