An older Spanish-speaking adult client who recently moved to a ...

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An older Spanish-speaking adult client who recently moved to a new city makes an appointment for a routine annual assessment with a new primary care provider. Which action by the nurse is appropriate when conducting the health history?
 
  A) Speaking in a loud tone when addressing the client.
  B) Providing the client with educational material in English
  C) Asking the client's adult son to translate during the assessment
  D) Having a medical translator available during the health history

Question 2

The nurse is providing care to a client who is experiencing nausea and vomiting during the first trimester of pregnancy. Which actions by the nurse are appropriate based on this data? Select all that apply.
 
  A) Notify the healthcare provider that the client is experiencing hyperemesis gravidarum.
  B) Educate the client to notify the healthcare provider if she vomits once per day
  C) Suggest the client use acupressure to pressure points on the wrist
  D) Teach the client that ginger may relieve her symptoms
  E) Caution the client against using over-the-counter medications such as over-the-counter antihistamines

[peter]

Answer to Question 1

Answer: D

A client who is Spanish-speaking will require a medical translator to be available during the health history portion of the nursing assessment. While the nurse may need to increase the volume of speech due to client's age, this is not an appropriate action until it is determined that the client is hard of hearing. Educational material should be provided to the client in the native language. Asking a family member to translate during an assessment can violate the client's privacy.

Answer to Question 2

Answer: C, D

Nausea and vomiting is a common experience during the first trimester of pregnancy. The exact cause is unknown, but it is thought to be multifactorial. An elevated hCG level is believed to be a major factor, but changes in carbohydrate metabolism, fatigue, and
emotional factors also may play a role. Accupressure and ginger are two complementary therapies that the nurse can suggest to the client to relive the symptoms. There is no evidence that the client is experiencing hyperemesis gravidarum. The client should be taught to notify the healthcare provider if vomiting occurs more than once a day. Over-the-counter are safe to use during pregnancy to decrease the occurrence of nausea and vomiting.

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