A nurse must request an interpreter to provide important ...

[charchew]

A nurse must request an interpreter to provide important information to a client. Which of these nursing diagnoses for the client would be MOST appropriate in this situation?
 
  a. Anxiety c. Health maintenance, altered
  b. Communication, verbal, impaired d. Social interaction, impaired

Question 2

During auscultation of all four quadrants of a client's abdomen, the nurse hears 20 or more bowel sounds per minute. How should this finding be documented?
 
  a. bowel sounds absent c. bowel sounds hyperactive
  b. bowel sounds active d. bowel sounds hypoactive

[blakeserpa]

Answer to Question 1

B
When language differences impede communication, alternative methods of communication, such as gestures, pictures, or flash cards, can be useful tools. Members of a client's family may also be able to bridge the communication gap between nurse or health provider and client. If family members are unable to assist, an interpreter may be required.

Answer to Question 2

C
When approximately 5 to 20 bowel sounds are heard per minute, the bowel sounds are considered active, 20 or more bowels sounds per minute is defined as hyperactive, and less than 5 bowel sounds per minute is considered hypoactive.

[charchew]

Thank you!

[blakeserpa]

Always glad to help...