A nurse is planning care for a client who has reduced visual sensory perception. Which of the following interventions should the nurse include in the plan of care?

Guide the client by walking parallel with them.

Use a loud tone of voice when speaking with the client.

Rearrange client’s bedside table items frequently.

Remove objects from client’s path to the bathroom.

Answer and Explanation

The Correct Answer is D

Choice A reason: Guiding the client by walking parallel is less effective than offering an arm for support, which provides stability and orientation. Parallel walking does not ensure safe navigation for someone with visual impairment, as it lacks physical guidance, making it less appropriate for preventing falls or ensuring safety.
Choice B reason: Using a loud tone of voice assumes hearing impairment, which is not indicated in visual sensory loss. Normal volume with clear enunciation is sufficient, and loud tones may be perceived as disrespectful or startling. This intervention is unnecessary and inappropriate for addressing visual impairment, focusing on an irrelevant sensory issue.
Choice C reason: Rearranging bedside table items frequently disorients a visually impaired client, increasing confusion and fall risk. Consistent placement of items supports independence and safety by allowing the client to rely on memory and touch, making this intervention counterproductive and unsafe for the care plan.
Choice D reason: Removing objects from the path to the bathroom prevents tripping hazards, enhancing safety for a client with reduced visual perception. This intervention reduces fall risk, promotes independent mobility, and aligns with evidence-based practices for visually impaired individuals, making it the most effective and appropriate action.

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Correct Answer is D

Explanation

Choice A reason: Giving 2 ounces of water before newborn genetic screening is unnecessary and inappropriate, as the test involves a heel stick blood sample, not oral intake. Water may disrupt feeding or hydration balance in newborns, making this statement incorrect and irrelevant.
Choice B reason: Newborn genetic screening is typically a one-time test shortly after birth, not repeated at 2 months unless specific conditions warrant follow-up. Routine repetition is not standard, making this statement inaccurate for general teaching about the screening process.
Choice C reason: Blood for newborn genetic screening is collected via a heel stick, not the inner elbow, to minimize discomfort and obtain sufficient capillary blood. Drawing from the elbow is incorrect and impractical for newborns, making this statement inaccurate.
Choice D reason: Performing genetic screening after 24 hours ensures accurate detection of metabolic disorders, as newborns need time to metabolize nutrients. This timing aligns with national guidelines (e.g., AAP), making it essential and correct information for parents about the screening process.

A. I should wash my hands for 10 seconds with hot water after working in the garden. B. I can visit my nephew who has chickenpox 5 days after the sores have crusted. C. I can clean my cat’s litter box during my pregnancy. D. I should avoid contact with anyone who has a cold sore.

Correct Answer is B

Explanation

Choice A reason: Washing hands for 10 seconds with hot water is insufficient; at least 20 seconds with soap and warm water is recommended to remove pathogens post-gardening. Hot water alone is ineffective, so this statement reflects incomplete understanding, making it incorrect.
Choice B reason: Visiting a nephew with chickenpox 5 days after sores crust indicates understanding, as the virus is no longer contagious then. This aligns with CDC guidelines for varicella, protecting the pregnant client and fetus, making it the correct statement.
Choice C reason: Cleaning a cat’s litter box during pregnancy risks toxoplasmosis, which can harm the fetus. Pregnant women should avoid this task, so this statement shows a lack of understanding, making it incorrect for infection prevention.
Choice D reason: Avoiding anyone with a cold sore is overly restrictive, as herpes simplex transmission requires direct contact. General avoidance without context reflects misunderstanding, as precautions like avoiding kissing suffice, making this incorrect.

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A nurse is planning care for a client who has reduced visual sensory perception. Which of the following interventions should the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to the parents of a newborn about newborn genetic screening. Which of the following statements should the nurse include in the teaching?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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