A nurse is caring for a client who has a moderate vision impairment. Which of the following actions should the nurse take?

Face the client when speaking to them.

Open shades on windows in the client's room to provide direct lighting

Use gestures to communicate with the client.

Speak loudly when talking to the client.

Answer and Explanation

The Correct Answer is A

A. Face the client when speaking to them. This is the correct action. Facing the client while speaking helps them use any remaining vision they have to interpret facial expressions and lip movements, which can enhance communication.

B. Open shades on windows in the client's room to provide direct lighting. Direct lighting can cause glare, which may worsen vision impairment. It is better to use indirect lighting to avoid glare.

C. Use gestures to communicate with the client. While gestures can be useful for some individuals, they are not as effective for clients with vision impairment who may not be able to see them clearly.

D. Speak loudly when talking to the client. There is no need to speak loudly unless the client also has a hearing impairment. Speaking loudly could be perceived as shouting, which may be uncomfortable for the client.

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Correct Answer is C

Explanation

A. Blood glucose levels return to the expected reference range. Blood glucose levels are more likely to be elevated due to prolonged stress during the exhaustion stage, not normalized.

B. Blood pressure increases. During the exhaustion stage, the body's resources are depleted, and blood pressure may drop rather than increase.

C. Depression: The exhaustion stage is characterized by physical and psychological symptoms such as depression, fatigue, and reduced immune function.

D. Dilation of pupils: Pupil dilation occurs during the alarm stage of the general adaptation syndrome, not during the exhaustion stage.

A. Dilute each medication with 10 mL of tap water. B. Flush the NG feeding tube with 30 mL of water immediately following medication administration C. Maintain the head of the bed in a flat position for 30 min following medication administration.

Correct Answer is B

Explanation

A. Dilute each medication with 10 mL of tap water. Typically sterile or distilled water is preferred for diluting medications to reduce the risk of infection.

B. Flush the NG feeding tube with 30 mL of water immediately following medication administration. Flushing the tube before and after medication administration helps ensure the tube remains patent and the medication is fully delivered.

C. Maintain the head of the bed in a flat position for 30 minutes following medication administration. The head of the bed should be elevated to at least 30-45 degrees to prevent aspiration during and after medication administration.

D. Mix the three medications together prior to administering. Medications should not be mixed together unless compatibility has been confirmed, as mixing can cause interactions or blockages in the tube.

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A nurse is caring for a client who has a moderate vision impairment. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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