A nurse on a medical-surgical unit is caring for a client who has hearing loss. Which of the following actions should the nurse take?

Speak in a louder than usual tone of voice during conversation.

Mute the client’s television before beginning a conversation.

Avoid the use of hand gestures when talking to the client.

Use short phrases when talking to the client.

Answer and Explanation

The Correct Answer is D

Use short phrases when talking to the client.

Some possible explanations for the other choices are:

Choice A is wrong because speaking in a louder than usual tone of voice during conversation can distort the sound and make it harder for the client to understand.

The nurse should speak in a normal tone and enunciate clearly.

Choice C is wrong because avoiding the use of hand gestures when talking to the client can limit nonverbal communication and reduce the client’s comprehension.

The nurse should use appropriate facial expressions

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Correct Answer is A

Explanation

This statement indicates an understanding of the teaching because babies born to mothers with gestational diabetes mellitus (GDM) are at risk for low blood sugar (hypoglycemia) after birth due to high insulin levels.

Choice B is wrong because a client who has GDM should check their blood glucose more frequently than once every 8 hours. The American Diabetes Association recommends checking blood glucose levels before meals and one hour after the start of each meal.

Choice C is wrong because a baby born to a mother with GDM is at risk for being overweight (macrosomia) at birth, not underweight. This can lead to complications such as shoulder dystocia, birth trauma, and cesarean delivery.

Choice D is wrong because a client who has GDM should ensure that about 15 to 20 percent of their daily calories come from protein sources, not 5 percent. Protein helps regulate blood glucose levels and supports fetal growth.

A. Avoid asking the client personal questions. B. Observe the client’s body language during the conversation. C. Maintain eye contact with the interpreter when asking questions. D. Include medical terminology when discussing the client’s condition.

Correct Answer is B

Explanation

Observe the client’s body language during the conversation. This action will help the nurse to assess the client’s nonverbal cues and emotions, which can enhance communication and understanding. The nurse should also determine the client’s understanding several times during the conversation and use lay terms if possible.

Choice A is wrong because avoiding asking the client personal questions can hinder rapport building and prevent the nurse from obtaining important information about the client’s health and needs.

Choice C is wrong because maintaining eye contact with the interpreter when asking questions can show disrespect and disinterest to the client and his family. The nurse should look at the client and his family when asking questions, not at the interpreter.

Choice D is wrong because including medical terminology when discussing the client’s condition can confuse the client and his family and create barriers to communication. The nurse should use simple and clear language that the client and his family can understand.

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A nurse on a medical-surgical unit is caring for a client who has hearing loss. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has gestational diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is using an interpreter to communicate with a client who speaks a different language than the nurse. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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