Certified Ambulatory Perianesthesia Nurse (CAPA) Practice Exam

A Spanish-speaking patient arrives for a pre-operative admission interview. What should the perianesthesia nurse do regarding NPO instructions?

1. Request that the friend interpret the written instructions

2. Provide written instructions in Spanish

3. Determine the friend's ability to understand instructions

4. Delay instructions until a certified interpreter can be located

The correct answer is: Delay instructions until a certified interpreter can be located

The most effective and appropriate action in this scenario is to delay the instructions until a certified interpreter can be located. This approach ensures that the patient receives accurate and clear information regarding NPO (Nil Per Os, or nothing by mouth) instructions, which are critical for patient safety prior to surgery. Having a certified interpreter facilitates effective communication, allowing the nurse to convey important medical information accurately and reducing the risk of misinterpretation that could lead to adverse patient outcomes. Providing instructions in Spanish without verification of the patient’s understanding or the specifics of the situation may not adequately address any potential language barriers, especially if the written material does not align with the patient’s level of comprehension. Similarly, relying on a friend to interpret the instructions places an undue burden on that individual and could compromise the accuracy of the information conveyed. Determining the friend’s ability to understand instructions doesn’t ensure the patient’s understanding either and doesn't address the fundamental requirement for precise communication. The emphasis on using a certified interpreter is rooted in best practices for patient safety and effective communication, especially in medical settings where understanding specific instructions is critical for successful pre-operative care.