A nurse is admitting a client who has a partial hearing loss.
Which of the following is the priority action by the nurse?

Rephrase statements the client does not hear.

Determine if the client uses hearing aids.

Speak using his usual tone of voice and directly in front of the client.

Use hand gestures to communicate.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Rephrasing statements the client does not hear is helpful but not the priority action. The priority is to determine if the client uses hearing aids to ensure they can hear instructions and communication effectively.

Choice B rationale

Determining if the client uses hearing aids is the priority action. Ensuring the client has and uses their hearing aids can significantly improve communication and care.

Choice C rationale

Speaking using the usual tone of voice and directly in front of the client is important but secondary to ensuring the client has their hearing aids.

Choice D rationale

Using hand gestures to communicate can be helpful but is not the priority action. The primary focus should be on ensuring the client has their hearing aids for optimal hearing.

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Correct Answer is A

Explanation

Choice A rationale

Multiple sexual partners increase the risk of human papillomavirus (HPV) infection, which is a significant risk factor for cervical cancer.

Choice B rationale

Multiple pregnancies are not a significant risk factor for cervical cancer.

Choice C rationale

Late onset of menarche is not a significant risk factor for cervical cancer.

Choice D rationale

Use of a diaphragm is not a significant risk factor for cervical cancer. .

A. Notify the surgeon if white drainage develops on the eyelids. B. Sleep on the abdomen to facilitate wound healing. C. Avoid lifting anything heavier than 4.5 kg (10 lb) for 1 week. D. Bend at the waist to pick objects up from the floor.

Correct Answer is C

Explanation

Choice A rationale

White drainage on the eyelids is not a normal finding and should be reported to the surgeon. However, this is not a standard discharge instruction but rather a sign of potential infection.

Choice B rationale

Sleeping on the abdomen is not recommended after cataract surgery as it can increase pressure on the eye and disrupt healing. Patients are usually advised to sleep on their back or the unaffected side.

Choice C rationale

Avoiding lifting anything heavier than 4.5 kg (10 lb) for 1 week is a standard instruction to prevent increased intraocular pressure and ensure proper healing of the surgical site.

Choice D rationale

Bending at the waist to pick up objects can increase intraocular pressure and should be avoided. Patients are advised to bend at the knees instead.

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A nurse is admitting a client who has a partial hearing loss. Which of the following is the priority action by the nurse?

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A nurse is admitting a client who has a partial hearing loss.
Which of the following is the priority action by the nurse?