A nurse is assisting a client with a visual impairment to use the restroom. Which of the following actions will the nurse take to prevent complications?
Increase her voice when speaking to the client
Lower the bed rails before lowering the bed
Use hand gestures to point to where the client will walk
Stand slightly in front and to one side of the client
The Correct Answer is D
Choice A reason: This is incorrect because increasing her voice when speaking to the client may not prevent complications, but rather annoy or offend the client. The nurse should not assume that a client with a visual impairment has a hearing impairment as well unless it is confirmed by assessment or history. The nurse should speak in a normal tone and volume and identify herself by name and role.
Choice B reason: This is incorrect because lowering the bed rails before lowering the bed may increase the risk of complications, such as falls or injuries. The nurse should keep the bed rails up until the client is ready to get out of bed and lower them only when necessary. The nurse should also lock the wheels of the bed and adjust it to a comfortable height for the client.
Choice C reason: This is incorrect because using hand gestures to point to where the client will walk may not prevent complications, but rather confuse or frustrate the client. The nurse should not use visual cues or gestures that are meaningless to a client with a visual impairment. The nurse should use verbal directions and descriptions instead, such as "The restroom is on your left, about 10 steps away."
Choice D reason: This is correct because standing slightly in front and to one side of the client can prevent complications, such as collisions or falls. The nurse should guide the client by offering her arm or shoulder for support and walking slightly ahead of him or her. The nurse should also warn the client about any obstacles or changes in terrain, such as stairs, doors, or rugs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is the correct answer because atrial fibrillation is the risk factor that puts the client at
the highest risk for embolic stroke. Atrial fibrillation is an irregular and rapid heart rate that causes poor blood flow and blood pooling in the heart chambers. This can lead to the formation of blood clots that can travel to the brain and block an artery, causing an embolic stroke.
Choice B reason: This is incorrect because hypertension is not the risk factor that puts the client at
the highest risk for embolic stroke. Hypertension is high blood pressure that puts stress on the blood vessels and increases the risk of bleeding or rupture. This can lead to a hemorrhagic stroke, but not an embolic stroke.
Choice C reason: This is incorrect because diabetes is not the risk factor that puts the client at
the highest risk for embolic stroke. Diabetes is a condition that causes high blood sugar levels and damages the blood vessels and nerves. This can lead to poor circulation and increased risk of infection and ulcers, but not an embolic stroke.
Choice D reason: This is incorrect because alcohol abuse is not the risk factor that puts the client at
the highest risk for embolic stroke. Alcohol abuse is excessive consumption of alcohol that affects liver function and blood clotting factors. This can lead to liver disease and bleeding disorders, but not an embolic stroke.
Correct Answer is C
Explanation
Choice A Reason: The test does not assess for sun protection factor, but rather for contact dermatitis. Sun protection factor is a measure of how well a sunscreen protects the skin from ultraviolet radiation, which can cause sunburn and skin damage.
Choice B Reason: The test is not inconclusive, but rather positive for some allergens and negative for others. The test involves applying small patches of different substances to the skin and observing for any reactions after 48 hours.
Choice C Reason: This is the correct choice. The presence of erythema indicates you are allergic to the allergen, as it shows inflammation and irritation of the skin due to an immune response. Erythema is redness of the skin that can be accompanied by itching, swelling, or blisters.
Choice D Reason: The areas that did not turn red do not indicate low risk for skin cancer, but rather no reaction to the allergen. Skin cancer is a malignant growth of abnormal cells in the skin that can be caused by various factors, such as genetic mutations, exposure to carcinogens, or immunosuppression.
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