An older adult client who has difficulty hearing is being discharged from day surgery following a cataract extraction and lens implantation. Which intervention is most important for the nurse to implement to help ensure the client's compliance with self care?

Ensure that someone will stay with the client for 24 hours.

Have the client vocalize the instructions provided.

Speak clearly and face the client for lip reading.

Provide written instructions for eye drop administration.

Answer and Explanation

The Correct Answer is D

A.   Ensuring that someone stays with the client for 24 hours is important for immediate postoperative care but does not directly ensure compliance with self-care instructions.
B.   Having the client vocalize the instructions ensures that the client understands and can recall the information provided, which is crucial for compliance with self-care. However, it does not provide a point of reference while at home.
C.   Speaking clearly and facing the client for lip reading is helpful for communication but does not ensure that the client fully understands and can follow the instructions.
D.   Providing written instructions is crucial because written instructions can serve as a reference for the client to review as needed, ensuring they understand and follow the postoperative care procedures, which is essential for preventing complications and promoting healing.

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Correct Answer is C

Explanation

A. Serum electrolytes are important to monitor in chronic kidney disease but do not directly relate to the effects of epoetin alfa.

B. Platelet count is not typically affected by epoetin alfa and does not directly address the client’s symptoms of tiredness.
C. Complete blood count (CBC) is crucial to monitor, especially hemoglobin and hematocrit levels, as epoetin alfa is used to treat anemia in chronic kidney disease, which can cause fatigue.
D. Liver enzymes are not directly related to the effects of epoetin alfa and the symptoms described.

A. Talk loudly into the affected ear. B. Repeat information to the client. C. Speak directly facing the client. D. Write information on a whiteboard.

Correct Answer is C

Explanation

A. Speaking loudly into the affected ear may not effectively communicate the information.
B. Repeating information is helpful but does not address the specific needs related to unilateral hearing loss.
C. Speaking directly facing the client ensures optimal communication by allowing the client to read lips and observe facial expressions.
D. Writing information on a whiteboard may be useful for some clients but does not directly address the client's hearing loss.

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An older adult client who has difficulty hearing is being discharged from day surgery following a cataract extraction and lens implantation. Which intervention is most important for the nurse to implement to help ensure the client's compliance with self care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with chronic kidney disease reports to the nurse of feeling increasingly tired. The client receives injections for epoetin alfa three times a week. Which laboratory value should the nurse review?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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