A nurse is caring for a client who has vision loss. Which of the following actions should the nurse take? (Select all that apply.)
Keep objects in the client's room in the same place.
Approach the client from the side.
Ensure there is high-wattage lighting in the client's room.
Allow extra time for the client to perform tasks.
Touch the client gently to announce presence.
Correct Answer : A,C,D
A. Keeping objects in the same place help maintain a safe environment and independence for a client with vision loss.
B. When caring for a client with vision loss, the nurse should avoid approaching the client from the side since it may startle them.
C. Providing high-wattage lighting can improve visibility for clients with partial vision loss. Adequate lighting reduces shadows and enhances contrast, making it easier for the client to see their surroundings
D. Allowing extra time for tasks helps orient them to the nurse's presence and facilitates communication.
E. While gentle touch can be a way to announce presence, it is better to verbally announce oneself first to avoid startling the client, particularly if they are not expecting contact.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The Sims position is a lateral position used for procedures such as rectal examinations and enemas and is not typically indicated for managing increased intracranial pressure.
B. The supine position may worsen increased intracranial pressure by increasing venous return and intracranial pressure.
C. The left lateral position may be used in specific circumstances, such as to relieve pressure on the vena cava in pregnancy, but it is not typically indicated for managing increased intracranial pressure.
D. Positioning the client in Low-Fowler's position (with the head of the bed elevated approximately 15-30 degrees) helps facilitate venous drainage from the brain, thereby reducing intracranial pressure. This position promotes optimal cerebral perfusion and helps manage increased intracranial pressure.
Correct Answer is D
Explanation
A: It's not the nurse's role to provide detailed information about the benefits of surgery on the informed consent form; this should be done by the provider.
B: Informing the client about their condition is primarily the provider's responsibility before obtaining consent.
C: The nurse should not be the one to explain the procedure; this is the provider's responsibility. The nurse ensures the client understands after the provider's explanation.
D: Confirming the client's signature is authentic is a crucial step for the nurse to ensure that the consent is valid and the client has indeed agreed to the procedure.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.