A resident of a long-term care facility has moderate hearing loss and is hard of hearing. When communicating with this resident, which of the following would be the best initial technique?

Use only written communication whenever possible to minimize the client's frustration.

Minimize background noises such as the television and ensure that lighting is adequate to see the nurse's face.

Use vocabulary and concepts that are as simple as possible.

Repeat each direction or question multiple times, even if the client states he heard and understands the directions.

Answer and Explanation

The Correct Answer is B

A. Use only written communication whenever possible to minimize the client's frustration. Written communication can be helpful in some situations, but it should not be the primary mode of communication for clients with moderate hearing loss unless necessary.

B. Minimize background noises such as the television and ensure that lighting is adequate to see the nurse's face. Reducing background noise and ensuring proper lighting are critical strategies for effective communication with individuals with hearing loss. These steps make it easier for the resident to hear and understand, and they also allow the resident to use visual cues, such as lip-reading, to enhance communication.

C. Use vocabulary and concepts that are as simple as possible.
While simplifying vocabulary may help some individuals, it is not necessary or beneficial for all residents with hearing loss. This could come across as condescending unless it aligns with the client’s cognitive ability.

D. Repeat each direction or question multiple times, even if the client states he heard and understands the directions: Repeating unnecessarily can be frustrating and counterproductive for the client. It is more effective to ensure the initial communication is clear and check for understanding without excessive repetition unless the resident indicates they need clarification.

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Correct Answer is C

Explanation

The correct answer is choice C, Place all 4 side rails up to prevent the patient from getting out of bed and falling.

When considering alternatives to restraints for a confused and agitated patient who is at high risk for falls, placing all 4 side rails up to prevent the patient from getting out of bed and falling is not an appropriate alternative. This action can be considered as restraint use and can increase the patient's agitation and risk for injury. Instead, the nurse should provide the patient with activities to do while in bed, play music or video selections of the patient's choice, and reduce stimulation noise and light to calm the patient.

A. Observe for signs and symptoms of respiratory distress. B. Auscultate anterior and posterior lung fields. C. Inspect the skin for pallor and cyanosis. D. Assess the shape, expansion, and symmetry of the chest. E. Observe rate, rhythm, and depth of respirations.

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

Explanation

A.Observe for signs and symptoms of respiratory distress.

B.Auscultate anterior and posterior lung fields.

C. Inspect the skin for pallor and cyanosis.

E. Observe rate, rhythm, and depth of respirations.

When assessing a client's oxygenation status, a nurse should observe for signs and symptoms of respiratory distress, such as dyspnea, wheezing, and use of accessory muscles. Auscultation of the anterior and posterior lung fields is important to identify any adventitious breath sounds such as crackles, wheezes or rhonchi that may indicate airway obstruction, fluid accumulation, or other respiratory abnormalities. Inspection of the skin is also important to detect pallor or cyanosis, which may indicate reduced oxygen levels in the blood. Lastly, observing the rate, rhythm, and depth of respirations can provide information on the adequacy of oxygen exchange in the lungs.

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A resident of a long-term care facility has moderate hearing loss and is hard of hearing. When communicating with this resident, which of the following would be the best initial technique?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A client is scheduled for a routine physical assessment at the neighborhood clinic. What should the nurse do when physically assessing the client's oxygenation status? Select all that apply.

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

Explanation

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