An older female client is hospitalized with a fractured femur. During a routine nursing assessment, she repeatedly asks the nurse to "speak up" so that she can hear the questions. Which action is best for the nurse to take?
Over-enunciate word syllables.
Exaggerate nonverbal expressions.
Decrease speaking speed.
Raise voice volume to a shout.
The Correct Answer is C
A. Over-enunciating word syllables can be perceived as patronizing and may not improve understanding for clients with hearing difficulties.
B. Exaggerating nonverbal expressions can help convey meaning, but it does not address the immediate need for clear verbal communication.
C. Decreasing speaking speed allows the client more time to process what is being said, which is particularly important for older adults who may need additional time to understand spoken words.
D. Raising voice volume to a shout may not be necessary and could distort the clarity of speech, making it harder for the client to understand.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
A. Chest x-ray: Follow-up imaging is typically needed to assess the progression or resolution of pneumonia after initiating antibiotic therapy.
B. Albuterol treatments by nebulizer every 4 to 6 hours: This can help relieve bronchospasm and improve air exchange, especially if the client is experiencing wheezing or increased work of breathing due to pneumonia.
C. Arterial blood gas (ABG): An ABG can help evaluate the client's respiratory status and the effectiveness of oxygenation and ventilation, especially given the diminished breath sounds and crackles.
D. C. Computerized tomography (CT) scan of the chest: While a CT scan can provide detailed images of the lungs, it is not typically the immediate follow-up after initial pneumonia treatment unless there are complications or concerns not resolved with a standard chest x-ray.
E. Increase oral fluids: Encouraging fluid intake can help thin secretions, promote hydration, and support overall recovery from pneumonia.
Correct Answer is D
Explanation
A. Determine the client's last dose of corticosteroids: This may be helpful later in understanding the client's MS management, but it is not the immediate priority in an acute neurological situation.
B. Determine neurological baseline prior to the fall: While important for comparison, establishing the client’s current status through assessment takes priority.
C. Administer a PRN IV antiemetic as prescribed: Vomiting may be a sign of increased intracranial pressure (ICP); treating the symptom without assessing for underlying neurological compromise could delay recognition of a critical condition.
D. Complete head-to-toe neurological assessment: This is the priority. The client’s confusion and projectile vomiting may indicate a traumatic brain injury with increased ICP. Immediate neurological assessment is necessary to identify life-threatening changes and guide urgent interventions.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.