NCLEX-RN

Category - Care Management

A Tagalog speaking client, admitted to the Emergency Department for acute abdominal pain, will have surgery after the surgeon explains the surgical procedure to the client and the client signs the informed consent. Rick Rescue, RN enters the exam room as the client’s English speaking family member is leaving. The family member says she must take her children to a babysitter, but will return quickly. The surgeon enters the room to explain the surgical procedure to the client. The surgeon is English speaking only. He is trying to explain the surgical procedure by using hand gestures and drawing pictures. Which of the following is Rick Rescue, RN’s first action?
  1. Witness the client’s signature on the informed consent.
  2. Ask the surgeon to wait for the English speaking family member to return.
  3. Request a Tagalog interpreter ASAP to the client’s room.
  4. Assess the client’s level of pain.
Explanation
Answer: C - Rick Rescue, RN fulfills his duty as client advocate by requesting an interpreter to the room, while meeting the client need for information to make an informed decision. A client cannot give informed consent if the procedure has not been clearly explained in the client’s language.
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