A nurse is caring for a client who has hearing loss. While communicating with the client, which of the following actions should the nurse take?
Emphasize vowel sounds when speaking,
Lower the tone of voice at the end of each sentence
Decrease background noise when talking with the client.
Sit next to the client when speaking to them.
The Correct Answer is C
Rationale:
A. Emphasize vowel sounds when speaking: Vowel sounds are not as difficult to hear as consonants, especially for clients with sensorineural hearing loss. Overemphasizing vowel sounds can distort speech and make understanding more difficult.
B. Lower the tone of voice at the end of each sentence: Lowering the tone may cause parts of the message to be missed, especially if the client relies on lip-reading or residual hearing. A consistent tone and clear enunciation are more effective communication strategies.
C. Decrease background noise when talking with the client: Reducing background noise improves the client’s ability to focus on the speaker and hear more clearly. Background noise can interfere with hearing aids and make communication more challenging for individuals with hearing impairment.
D. Sit next to the client when speaking to them: Sitting next to the client may reduce their ability to see facial expressions or lip-read. It is more effective to sit directly in front of them and maintain eye contact to facilitate clear communication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Limit your fluid intake to 500 milliliters per day: Restricting fluids to this extent can lead to dehydration and concentrated urine, which may irritate the bladder and worsen incontinence symptoms. Maintaining adequate hydration is essential during bladder retraining.
B. Plan to urinate every 3 hours while you are awake: Scheduled voiding every 2 to 3 hours helps train the bladder to hold urine for longer intervals and reduces urgency episodes. This is a core component of effective bladder retraining for urge incontinence.
C. Decrease your intake of cranberry juice: Cranberry juice may help prevent urinary tract infections, though its benefit in incontinence management is limited. There is no need to avoid it unless advised for another reason, as it is not a known bladder irritant.
D. Take your diuretic medication with your evening meal: Taking diuretics late in the day increases nighttime urine production, leading to nocturia and disturbed sleep. Diuretics should be taken in the morning to align with daytime urinary patterns and reduce bladder strain at night.
Correct Answer is B
Explanation
Rationale:
A. Perform the Credé’s maneuver: This manual technique is used to assist bladder emptying in clients with urinary retention due to neurogenic bladder. It is not appropriate or necessary when continuous bladder irrigation is in place and the catheter is draining.
B. Maintain the irrigation solution rate: Pink-tinged urine is expected during the early postoperative period following TURP, indicating mild bleeding. There is no need to adjust the irrigation rate unless there are signs of obstruction or bright red bleeding with clots.
C. Replace the indwelling urinary catheter: Catheter replacement is only necessary if there is a blockage or malfunction. In this case, the system appears to be functioning correctly, and there’s no indication of obstruction.
D. Warm the irrigation solution: Warming the irrigation fluid is not required and does not affect hematuria. The solution should be at room temperature unless otherwise prescribed. Hematuria at this stage is managed by monitoring, not fluid temperature changes.
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