A nurse is caring for a client who has hearing loss. Which of the following actions should the nurse take to promote communication?

Use short phrases.

Decrease background noise.

Speak in a loud voice.

Talk at a rapid rate.

Answer and Explanation

The Correct Answer is B

This action will help the client hear the nurse better by reducing competing sounds.

The nurse should also face the client when speaking, use short phrases, and communicate using paper and pen if needed.

Choice A is wrong because using short phrases alone is not enough to promote communication with a client who has hearing loss.

The nurse should also use other strategies such as decreasing background noise and facing the client when speaking.

Choice C is wrong because speaking in a loud voice can distort the sound and make it harder for the client to understand.

The nurse should speak clearly, slowly, and distinctly, but not shout.

Choice D is wrong because talking at a rapid rate can make it difficult for the client to follow the conversation.

The nurse should speak at a normal pace and pause between sentences.

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Correct Answer is A

Explanation

The client’s oxygen saturation is 88% on 2 L/min of oxygen via nasal cannula, which is below the normal range of 95% to 100%.

This could indicate that the client is not receiving enough oxygen or that the pulse oximeter is not working properly.

The nurse should first check the sensor probe for any problems, such as poor attachment, nail polish, cold extremities, or motion artifact.

Repositioning the sensor probe may improve the accuracy of the reading and help the nurse determine the next course of action.

Choice B. Apply a cooling blanket to the client is wrong because a cooling blanket is used to lower the body temperature of a client with fever or hyperthermia.

It has no effect on the oxygen saturation level.

Choice C. Place the client in a side-lying position is wrong because a side-lying position may not improve the oxygenation of the client.

A more appropriate position would be a high Fowler’s position, which allows for maximum lung expansion and gas exchange.

Choice D. Ambulate the client is wrong because ambulating the client may worsen the oxygen saturation level if the client has a respiratory condition that causes hypoxemia.

The nurse should assess the client’s respiratory status and oxygen therapy before ambulating the client.

A. Separate the labia with the nondominant hand. B. Clean around the urinary meatus from front to back. C. Insert the catheter into the urethral meatus. D. Inflate the catheter balloon. E. Secure the catheter to the client’s thigh.

Correct Answer is ["A","B","C","D","E"]

No explanation

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A nurse is caring for a client who has hearing loss. Which of the following actions should the nurse take to promote communication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is monitoring a client’s oxygen saturation using a pulse oximeter. The client’s oxygen saturation is 88% on 2 L/min of oxygen via nasal cannula. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is inserting an indwelling urinary catheter for a female client. In which 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.).

Correct Answer is ["A","B","C","D","E"]

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