A nurse is caring for a client who has sensorineural hearing loss and is helping them choose items for their meal tray. Which of the following techniques should the nurse use to help the client communicate their choices?

State the options loudly in a high-pitched voice.

Ask the client's partner to choose their meal.

Expect extended time for verbal responses.

Ask the client to point to items on a picture menu.

Answer and Explanation

The Correct Answer is D

A. Speaking loudly in a high-pitched voice is not effective for individuals with sensorineural hearing loss, as they may struggle with high-frequency sounds.

B. Asking the client's partner to choose their meal removes the client's autonomy and does not facilitate direct communication.

C. While expecting extended time for verbal responses is considerate, it does not provide a practical solution for meal selection.

D. Asking the client to point to items on a picture menu is an effective way to facilitate communication, allowing the client to express their preferences without relying on verbal communication alone.

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Correct Answer is D

Explanation

Assessing a client requires clinical judgment and should not be delegated to an AP.

B. Accompanying a client to occupational therapy is a task that can be safely assigned to an AP as it does not require clinical judgment.

C. Checking the position of a client in soft wrist restraints is a routine task that can be assigned to an AP as long as the AP has been trained in restraint protocols.

D. Sitting with a client who has alcohol use disorder (5 days after their last drink) is a task that an AP can perform, especially if the client does not require close monitoring for medical complications such as delirium tremens.

E. Setting limits with a client requires therapeutic communication skills and clinical judgment, so this should not be delegated to an AP.

A. "Have you experienced a dry cough?" B. "Have you noticed an increase in urine output?" C. "Have you experienced muscle stiffness?" D. "Have you had any stomach pain or bloody stools?"

Correct Answer is D

Explanation

A. A dry cough is not a common adverse effect associated with ibuprofen and is more related to respiratory issues.

B. An increase in urine output is not a typical adverse effect of ibuprofen; rather, it may indicate a different condition.

C. Muscle stiffness is a symptom of juvenile idiopathic arthritis itself and not specifically an adverse effect of ibuprofen.

D. Asking about stomach pain or bloody stools is crucial as ibuprofen can cause gastrointestinal irritation, ulcers, or bleeding, which are serious adverse effects of long-term use.

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A nurse is caring for a client who has sensorineural hearing loss and is helping them choose items for their meal tray. Which of the following techniques should the nurse use to help the client communicate their choices?

Nursing Test Bank

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