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.
Sit next to the client when speaking to them.
Lower the tone of voice at the end of each sentence.
Decrease background noise when talking with the client.
The Correct Answer is D
A. Emphasize vowel sounds when speaking. Consonants are typically more difficult to hear than vowels, and overemphasizing vowels can distort speech and make it harder to understand. Clear, natural enunciation is more effective.
B. Sit next to the client when speaking to them. Sitting in front of the client is more effective, as it allows the client to read lips and observe facial expressions, both of which are important in supporting communication for individuals with hearing loss.
C. Lower the tone of voice at the end of each sentence. Lowering pitch or volume at the end of sentences can make speech harder to follow. A steady, moderate tone throughout conversation is more helpful and easier to understand.
D. Decrease background noise when talking with the client. Reducing environmental noise helps the client focus on the speaker’s voice, improving their ability to hear and comprehend the message. It’s one of the most effective strategies in communication with hearing-impaired individuals.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Place an ice pack over the cast. While this can help reduce swelling and pain, it is a comfort measure, not the priority. Safety assessments must be completed first before implementing non-urgent interventions.
B. Position the casted extremity on a pillow. Elevation is important to reduce swelling, but it follows after ensuring that circulation to the extremity is intact and that there are no signs of vascular compromise.
C. Teach the client to keep the cast clean and dry. Education is essential for long-term cast care, but it is not the first action after cast application. Immediate post-procedural monitoring takes precedence.
D. Palpate the pulse distal to the cast. The nurse should first assess for adequate circulation by checking distal pulses. This helps identify early signs of complications like compartment syndrome or impaired blood flow, making it the highest priority.
Correct Answer is B
Explanation
A. Soy. While soy can have mild estrogen-like effects and may influence thyroid function or interact with certain medications, it is not typically associated with hypotension or increased surgical bleeding risk.
B. Black cohosh. Black cohosh is often used to manage menopausal symptoms but is known to cause vasodilation and hypotension in some individuals. Its use can increase the risk of low blood pressure during anesthesia and surgery.
C. Flaxseed. Flaxseed is commonly used for digestive health and cardiovascular support. It may have mild blood pressure–lowering effects but is not strongly linked to significant hypotension during surgery.
D. Probiotics. Probiotics support gut flora and immunity but do not affect blood pressure significantly. They are not associated with intraoperative complications like hypotension.
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