That radiographers meet patients who do not speak the same language is not uncommon. It can be seen as strenuous and difficult to explain to the patient what the procedure is and how the procedure is performed. Requirement from the health care law is that health care should be provided on equal terms for the entire population. The purpose of this study was to compile knowledge from studies of how the X-ray nurse can facilitate the communication, what tools can be used and if it is really safe to x-ray these patients. A total of 11 scientific articles were analyzed. The results showed that the lack of communication and language barriers between radiographers and patients affect patient safety negatively, it can also affect the quality of the investigation because some examinations requires the patients involvement. Tools can be used to make the communication easier in language barriers. Many studies suggests that professional interpreters is the most effective way to improve and facilitate communication between patients and the radiographer. It also shows that the quality of the exam is improved because the patient feels secure when an interpreter is available and allows that both parties can communicate. The radiographer can consider avoiding medical jargon, use short concrete sentences and learn simple/short phrases on common languages in order to facilitate communication.