A nurse in an outpatient clinic is caring for a client. Which of the following findings indicates the client is experiencing a hearing deficit?

Persistent repositioning of objects

No response to tactile stimuli

Decreased attention span

Presence of expressive aphasia

Answer and Explanation

The Correct Answer is C

A. Persistent repositioning of objects: Repositioning objects frequently is more likely to be related to issues like anxiety or cognitive concerns rather than a hearing deficit. It does not typically indicate a hearing issue.

B. No response to tactile stimuli: No response to tactile stimuli suggests a possible sensory deficit related to touch or neurological concerns, but it does not indicate a hearing deficit. Hearing deficits affect auditory perception, not tactile sensations.

C. Decreased attention span: A decreased attention span can be a sign of hearing impairment, as individuals with hearing deficits may have difficulty following conversations or may become distracted due to not fully engaging with their environment.

D. Presence of expressive aphasia: Expressive aphasia is related to difficulty with speech production and language, typically following neurological events like strokes. It is not directly associated with hearing deficits but rather with language processing.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Urine output 25 mL/hr: Urine output less than 30 mL/hr is considered inadequate, especially after surgery. This could indicate possible renal insufficiency or hypovolemia, requiring immediate attention.

B. Heart rate 68/min: A heart rate of 68/min falls within the normal adult range (60-100 beats per minute). This finding is generally considered stable and does not typically indicate an immediate complication requiring urgent reporting to the provider in a postoperative client.

C. Hypoactive bowel sounds: Hypoactive bowel sounds are common in the immediate postoperative period, especially after abdominal surgery. This occurs due to the effects of anesthesia and bowel manipulation.

D. Serosanguineous drainage on surgical dressing: Serosanguineous drainage is typical in the early postoperative period and usually decreases over time. It’s not abnormal unless the amount increases significantly or the drainage becomes purulent.

A. Fold the existing patch on itself and dispose of it in a childproof container. B. Shave the client's lower leg for placement of the new patch. C. Keep the existing patch on and place the new patch in a different location. D. Discard the old patch and apply a new one in the same location.

Correct Answer is A

Explanation

A. Fold the existing patch on itself and dispose of it in a childproof container: The nurse should remove the old patch before applying a new one to avoid excessive medication delivery. The patch should be folded on itself to prevent accidental exposure to the medication and disposed of safely in a childproof container to prevent potential harm.

B. Shave the client's lower leg for placement of the new patch: Shaving can irritate the skin and increase the absorption of the medication, leading to an increased risk of side effects. The patch should be applied to clean, dry, and intact skin without shaving the area.

C. Keep the existing patch on and place the new patch in a different location: The old patch should be removed before applying a new one to prevent an overdose of medication. Placing a new patch over an old one can lead to excessive drug absorption,.

D. Discard the old patch and apply a new one in the same location: While the old patch should be discarded, it is not recommended to apply a new patch in the exact same location. Rotating the patch sites is important to prevent skin irritation and promote better absorption.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse in an outpatient clinic is caring for a client. Which of the following findings indicates the client is experiencing a hearing deficit?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 4 hr postoperative following abdominal surgery. Which of the following findings should the nurse report to the provider?

Correct Answer is A

Explanation

A nurse is preparing to administer a transdermal patch to a client. The nurse notes the client already has a patch that was applied 24 hr ago. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is assessing a client who thinks they have sleep apnea. Which of the following questions should the nurse ask?

A nurse is caring for a client on a medical-surgical unit. Exhibits Which of the following actions are part of the Isolation precautions for this client? Select all that apply.

A nurse is caring for a female client who is postoperative and is having difficulty urinating after the removal of an indwelling urinary catheter. Which of the following techniques should the nurse teach the client to use to promote urination?

A nurse is preparing to remove an indwelling urinary catheter from a client. In what order should the nurse perform the following steps? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

A nurse is caring for a client who is receiving intravenous fluids. The nurse notes the client's skin around their peripheral IV site is taut and edematous. Which of the following complications is the client experiencing?

A nurse is preparing to administer an intradermal tuberculin test to a client. Which of the following actions should the nurse take?

A nurse is caring for a client who is 36 hr postoperative following an open cholecystectomy. Exhibits The nurse is planning care for the client. Complete the following sentence by using the lists of options. The nurse should prepare to insert dropdownand request a prescription fordropdown

A nurse is caring for a client who has terminal cancer. The client tells the nurse, "I don't want any more treatment; just make me comfortable." The nurse should document that the client is in which of the following stages of grief?