A nurse is preparing an older adult client for a physical examination the provider is about to perform. Which of the following actions should the nurse take?

Inform the client that the provider will examine sensitive areas first.

Make sure the room temperature is cool.

Explain to the client what is about to happen.

Provide music as an environmental distraction.

Answer and Explanation

The Correct Answer is C

Explaining the examination process to the client helps reduce anxiety and uncertainty, especially for older adults who may be unfamiliar with the procedures or have concerns about the examination. Providing clear and concise explanations in a respectful manner allows the client to feel more informed and involved in their care, which can enhance their overall experience and cooperation during the examination.

A, Sensitive areas are preferably examined last

B, Examination should be done in relatively warm environment to ensure comfort for the client

D, Distracting the client can help alley anxiety but is not crucial unless the client requests so.

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Correct Answer is C

Explanation

Administering epinephrine is the immediate priority when managing anaphylaxis. Epinephrine is the first-line treatment for anaphylaxis as it helps to rapidly reverse severe allergic symptoms, such as airway constriction, swelling, and hypotension.

A. While assessing the client's neurologic status is important for monitoring their overall condition, it may not be the immediate priority when the client is experiencing symptoms of an allergic reaction, particularly anaphylaxis.

B. While consulting an allergy specialist may be necessary for further evaluation and management of the client's allergic condition, it is not the immediate priority.

D. While determining the cause of the hives is important for identifying the allergen and preventing future allergic reactions, it is not the immediate priority during an acute episode of anaphylaxis.

A. Sitting across the room from the client B. Minimizing facial expressions C. Standing while the client is seated D. Using a moderate amount of eye contact

Correct Answer is ["A","B","C"]

Explanation

A. Sitting across the room from the client creates physical distance and may convey a lack of engagement or interest in the client's concerns.
B. Minimizing facial expressions can make it challenging for the client to interpret the student's emotions or gauge their level of attentiveness and empathy.
C. Standing while the client is seated can create a power imbalance and may be perceived as intimidating or disrespectful, particularly in cultures where hierarchical structures are emphasized or where sitting is a sign of respect.
D. Using a moderate amount of eye contact is generally considered positive in communication, as it can convey attentiveness, interest, and sincerity.

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A nurse is preparing an older adult client for a physical examination the provider is about to perform. Which of the following actions should the nurse take?

Nursing Test Bank

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