Try Naxlex NCLEX-RN (Free-Trial)

A nurse is caring for a client who is postoperative.

Exhibits

Which of the following factors could present a barrier to the nurse effectively communicating with the client? Select all that apply.

Client's hearing deficit

Volume of the client's television

Numerous visitors in the client's room

Increase in pain after ambulation

Adverse effects of opioid analgesic

Using earphones while listening to music

Answer and Explanation

Correct Answer : A,B,C,D

Client's hearing deficit: The client’s hearing loss poses a significant barrier to effective communication. Without a hearing aid, the client may have difficulty understanding verbal communication, leading to misunderstandings.

Volume of the client's television: A loud television creates distracting background noise, making it challenging for the nurse to communicate clearly. This can hinder the client's ability to hear and comprehend important information during interactions.

Numerous visitors in the client's room: Having multiple visitors can create distractions and noise, making it difficult for the nurse to effectively communicate with the client. Visitors may also divert the client’s attention, impacting their ability to engage in discussions with the nurse.

Increase in pain after ambulation: The reported increase in pain can affect the client’s focus and engagement in communication. When experiencing pain, the client may find it challenging to concentrate on conversations, which impacts the overall effectiveness of communication with the nurse.

Adverse effects of opioid analgesic: While not explicitly mentioned in the initial scenario, opioid analgesics can cause side effects such as sedation and confusion, which may impair the client’s ability to communicate effectively. This could lead to misunderstandings and miscommunication.

Using earphones while listening to music: This factor, if present, would create a barrier to communication, as it would prevent the client from hearing the nurse's questions or instructions. However, it was not explicitly stated in the scenario.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Droplet: Pertussis, also known as whooping cough, is transmitted through respiratory droplets when an infected person coughs or sneezes. Therefore, droplet precautions are necessary to prevent the spread of the infection to others. This includes wearing a surgical mask when within 3 feet of the client and ensuring the client wears a mask when outside of their room.

B. Contact: Contact precautions are used for infections that can be spread through direct or indirect contact with the patient or contaminated surfaces. While there may be some overlap, contact precautions are not the primary focus for pertussis transmission.

C. Protective: Protective precautions (also known as reverse isolation) are utilized to protect immunocompromised patients from infections. This is not applicable for a patient with pertussis, as the focus is on preventing the spread of the infection rather than protecting the patient from pathogens.

D. Airborne: Airborne precautions are used for infections that are transmitted via airborne droplet nuclei, such as tuberculosis or measles. Pertussis does not fall under this category, as it is primarily transmitted through larger respiratory droplets.

E. Full semen: This option is not a recognized type of precaution. The correct term should focus on standard and transmission-based precautions relevant to infectious diseases.

A. "If you wear gloves, you do not have to wash your hands." B. "Rub all surfaces of your hands with an alcohol rub for 20 to 30 seconds." C. "Use an alcohol rub when your hands are visibly soiled." D. "If you don't have an infection, your hands won't infect others."

Correct Answer is B

Explanation

A. "If you wear gloves, you do not have to wash your hands.": Hand hygiene must still be performed even when gloves are worn. Gloves can become contaminated, and not washing hands after removing them can lead to the spread of pathogens. It is crucial to wash hands before putting on gloves and after removing them to ensure proper infection control.

B. "Rub all surfaces of your hands with an alcohol rub for 20 to 30 seconds.": This emphasizes the importance of thoroughly applying an alcohol-based hand rub to all areas of the hands, including the back, between fingers, and under nails. Using the rub for 20 to 30 seconds allows for effective disinfection, reducing the risk of transmitting infections.

C. "Use an alcohol rub when your hands are visibly soiled.": When hands are visibly soiled, soap and water should be used instead of an alcohol rub. Alcohol-based hand rubs do not effectively clean dirt or organic matter, which makes proper handwashing essential in such cases to ensure all contaminants are removed.

D. "If you don't have an infection, your hands won't infect others.": It is possible for hands to carry microorganisms that can cause infections even if the person does not have an active infection. Regular hand hygiene practices are necessary to prevent the transmission of pathogens to others, highlighting the importance of maintaining clean hands regardless of one's health status.

View Question and Answer

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

A nurse is caring for a client who is postoperative. Exhibits Which of the following factors could present a barrier to the nurse effectively communicating with the client? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who has pertussis. Which of the following types of transmission-based precautions should the nurse initiate?

Correct Answer is A

Explanation

A nurse is teaching a new group of assistive personnel (AP) about the importance of hand hygiene. Which of the following statements should the nurse include?

Correct Answer is B

Explanation

A nurse is planning care for a hospitalized client who is immobile and in a continuous mitten restraint. Which of the following interventions should be included in the client's care plan? (Select all that apply.)

A nurse on the medical-surgical unit is conducting a fall risk assessment for four clients. The nurse should identify that which of the following clients is the greatest risk for a fall?

The nurse is teaching a client who is preparing for surgery. Which teaching about a Jackson-Pratt drain will the nurse include?

A nurse is caring for a client who has methicillin-resistant Staphylococcus aureus (MRSA) in an abdominal wound. The nurse enters the room to check the client's pulse. Which of the following actions should the nurse take?

The nurse is assigned to the care of the following patients. In planning nursing care, the nurse knows to use touch cautiously when communicating with which patient?

A charge nurse is making client care assignments. Which of the following tasks should the nurse delegate to assistive personnel (AP)? (Select all that apply.)

A nurse is admitting a client who has hepatitis C. Which of the following precautions should the nurse implement?

A nurse is caring for a client who is postoperative.

Exhibits

Which of the following factors could present a barrier to the nurse effectively communicating with the client? Select all that apply.