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Using a professional interpreter ensures accuracy, confidentiality, and safe communication. Family members may distort or omit information. Speaking louder (Option C) and writing in English (Option D) are ineffective if the client is not fluent. This falls under Safe and Effective Care Environment—Management of Care. NCLEX emphasizes cultural competence, client rights, and safe discharge teaching in diverse populations.

The priority is client safety. The nurse must assess for adverse effects first, then notify the provider and complete error reporting. Option A is unprofessional. Option C is important but not first. Option D delays critical assessment. This falls under Safe and Effective Care Environment—Safety and Infection Control. NCLEX emphasizes acting promptly to minimize harm after an error, then following institutional protocols.

Option C uses therapeutic communication to validate feelings and encourage expression. Option A provides false reassurance. Option B may sound judgmental. Option D minimizes the client’s distress. This falls under Psychosocial Integrity—Therapeutic Communication. NCLEX evaluates nurses’ ability to support clients with empathy and provide a safe environment for discussing feelings.

Nausea and blurred vision are signs of digoxin toxicity. The nurse should withhold the drug and notify the provider. Option A is unsafe. Option C does not address toxicity. Option D delays intervention. This falls under Physiological Integrity—Pharmacological Therapies. NCLEX tests recognition of adverse drug effects and prioritization of safe medication administration.

Smoking significantly increases stroke risk and should never be considered safe. Options A, C, and D reflect correct preventive measures. This falls under Health Promotion and Maintenance—Illness Prevention. NCLEX emphasizes teaching modifiable risk factor reduction to decrease stroke incidence.