The nurse is caring for a client with full hearing loss. What should the nurse recommend for the home environment?

Have the client move in with a family member or close friend.

Encourage the client to get a roommate.

Increase the sound on all alarms.

Install flashing lights for alarms.

Answer and Explanation

The Correct Answer is D

A: Having the client move in with a family member or close friend can provide emotional support and assistance with daily activities. However, it does not specifically address the safety needs related to hearing loss. While this option can be beneficial, it is not the most direct solution for ensuring the client’s safety in their home environment.

B: Encouraging the client to get a roommate can also provide companionship and assistance. However, like option A, it does not directly address the specific safety concerns associated with hearing loss. The presence of a roommate might help in emergencies, but it is not a guaranteed solution for all safety issues.

C: Increasing the sound on all alarms might seem like a logical step, but it is not effective for someone with full hearing loss. This approach does not ensure that the client will be alerted to emergencies, as they may not hear the alarms regardless of the volume.

D: Installing flashing lights for alarms is the most effective recommendation for a client with full hearing loss. Visual alarms can alert the client to emergencies such as fires or intruders, ensuring their safety. This solution directly addresses the client’s inability to hear auditory alarms and provides a reliable method for emergency alerts.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A: The nurse should check the medication order again to ensure that the correct medication is being administered. This response addresses the client’s concern and ensures patient safety.

B: Telling the client that this is the medication their doctor wants them to take does not address the client’s concern about the color difference and may not ensure the correct medication is given.

C: While it is true that the same medication can come in different colors, this response does not verify the accuracy of the medication being administered.

D: Explaining the purpose of the medication is important, but it does not address the immediate concern about the color difference and the need to verify the medication.

A. “Restrain the client.” B. “Move objects away from the client.” C. “Place the client on his back.” D. “Insert a padded tongue blade into the client’s mouth.”

Correct Answer is B

Explanation

A: Restraining the client during a seizure is not recommended. It can cause injury to both the client and the person attempting to restrain them.

B: Moving objects away from the client is correct. This helps prevent injury by ensuring that the client does not hit or knock over objects during the seizure.

C: Placing the client on his back is not recommended. The client should be placed on their side to maintain an open airway and prevent aspiration.

D: Inserting a padded tongue blade into the client’s mouth is outdated and dangerous. It can cause injury to the client’s mouth and teeth. The focus should be on ensuring the client’s safety and maintaining an open airway.

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The nurse is caring for a client with full hearing loss. What should the nurse recommend for the home environment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

Explanation

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