ch 2

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The nurse is beginning an assessment with a pregnant client from a non-English-speaking culture. The interpreter is having difficulty understanding what the client is trying to say and the client is becoming frustrated. Which nursing diagnosis would be most appropriate for this situation?

Altered verbal communication

What is the key nursing role when managing the health care of a child living with a foster family?

Advocating for the child and the services needed.

A woman has presented to the clinic with her sick school-aged child. The child's mother reports she rarely has enough money to meet the health care needs of her chronically ill child. What information should be provided to the woman?

Medicaid may be available to low-income parents and their children.

Which intervention best demonstrates the L & D nurse is respectful of a client who is deaf and in early labor?

Seek assistance from another health care professional who can converse in sign language.

A client with hypertension tells the nurse about wanting to use an herbal substance to lower blood pressure instead of taking the antihypertensive medication. The nurse should:

advise the client to speak with the health care provider about combining herbal substances with the prescribed medication.

A 4-year-old child is brought to the clinic by his parents for evaluation of a cough. Which action by the nurse would be least appropriate in promoting atraumatic care for the child?

wrapping the child tightly in a blanket to prevent him from moving around


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