A client with unilateral hearing loss is admitted for a scheduled surgery. Which technique should the nurse use to provide education about pain relief options?

Talk loudly into the affected ear.

Repeat information to the client.

Speak directly facing the client.

Write information on a whiteboard.

Answer and Explanation

The Correct Answer is C

A.   Speaking loudly into the affected ear may not effectively communicate the information.
B.   Repeating information is helpful but does not address the specific needs related to unilateral hearing loss.
C.   Speaking directly facing the client ensures optimal communication by allowing the client to read lips and observe facial expressions.
D.   Writing information on a whiteboard may be useful for some clients but does not directly address the client's hearing loss.

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Correct Answer is D

Explanation

A: Osmolality measures the concentration of solutes in the blood and is not typically affected by naproxen or indicative of the reported symptoms.

B: While naproxen can cause gastrointestinal irritation and ulceration, it does not typically affect serum calcium levels. Monitoring serum calcium would not directly address the client's reported symptoms.

C: ESR is a nonspecific marker of inflammation and is not directly related to the reported symptoms of stomach pain, weakness, and fatigue associated with naproxen use.

D: Naproxen, a nonsteroidal anti-inflammatory drug (NSAID), can cause gastrointestinal bleeding, which may lead to anemia and a decrease in hemoglobin levels. Monitoring hemoglobin levels can help assess for gastrointestinal bleeding in this client who is experiencing stomach pain and weakness/fatigue.

A. IV administration of benztropine. B. PO administration of divalproex. C. PO administration of lorazepam. D. IV administration of isotonic crystalloid fluid.

Correct Answer is A

Explanation

A. Benztropine is an anticholinergic medication that is effective in rapidly treating acute dystonic reactions, including laryngeal spasms, which can be life-threatening. It works by counteracting the imbalance of neurotransmitters caused by certain medications.
B. Divalproex is used for mood stabilization and seizure control but is not effective in treating acute dystonic reactions.
C. Lorazepam, while useful for anxiety and agitation, is not the first-line treatment for dystonic reactions and does not address the underlying neurotransmitter imbalance.
D. Isotonic crystalloid fluids are important for hydration but do not treat the cause of the dystonic reaction.

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A client with unilateral hearing loss is admitted for a scheduled surgery. Which technique should the nurse use to provide education about pain relief options?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with arthritis has been receiving treatment with naproxen and now reports ongoing stomach pain, increasing weakness, and fatigue. Which laboratory test should the nurse monitor?

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Correct Answer is A

Explanation

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