The nurse is preparing an older male adult for discharge who does not read and has bilateral hearing loss.
The client's daughter who lives close to her father tells the nurse that she will stop by daily to check on her father.
Which intervention(s) should the nurse implement? (Select all that apply.).
Include the family in the discharge teaching.
Encourage the client to attend reading classes.
Face the client when speaking.
Speak loudly when teaching.
Provide the daughter with written instructions.
Correct Answer : A,C,E
Choice A rationale:
Including the family in the discharge teaching is essential, especially when dealing with a client who has communication barriers such as hearing loss and illiteracy. Involving the daughter in the teaching process ensures that she is aware of the client's care needs and can provide support at home.
Choice B rationale:
Encouraging the client to attend reading classes is not a practical intervention for an older adult with hearing loss. Reading classes may not address the immediate communication needs of the client, and the client's primary caregiver, in this case, is the daughter who will provide daily care and support.
Choice C rationale:
Facing the client when speaking is a crucial intervention when dealing with someone who has hearing loss. By facing the client, the nurse ensures that the client can see their lips and facial expressions, which can aid in lip-reading and understanding the communication better.
Choice D rationale:
Speaking loudly when teaching is not always the best approach for clients with hearing loss. While it may seem intuitive to speak loudly, it can distort speech and make it more challenging for the client to understand. Clear and slow speech, along with visual cues, is often more effective.
Choice E rationale:
Providing the daughter with written instructions is essential, especially when the client has limited reading skills. Written instructions can serve as a reference guide for the daughter, helping her provide care and support to her father accurately.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Instructing the client to bring all medications, supplements, and herbs currently being taken to the next clinic appointment (Choice A) is the best course of action. This allows the healthcare provider to review the client's entire medication regimen, identify any potential interactions or duplications, and make appropriate adjustments. It promotes medication safety and ensures that the client receives the most effective and safe treatment.
Choice B rationale:
Using a medication reminder system (Choice B) is a helpful suggestion but does not address the issue of potential duplications or interactions between medications. While a reminder system can improve adherence, it does not provide a comprehensive solution to the problem of multiple prescriptions for the same indication.
Choice C rationale:
Making certain a family member knows the name and use of all medications currently being taken (Choice C) is a useful practice for medication safety but may not be sufficient to address the issue of multiple prescriptions. Relying solely on a family member's knowledge may lead to misunderstandings or omissions in the medication regimen.
Choice D rationale:
Do not take any over-the-counter drugs while taking medications prescribed by a healthcare provider (Choice D) is a relevant piece of advice for medication safety. However, it does not directly address the issue of multiple prescriptions for the same indication. It is essential for the client to have a complete and accurate record of all medications, both prescribed and over-the-counter, to ensure safe and effective treatment.
Correct Answer is B
Explanation
The correct answer isChoice B.
Choice A rationale:
Ask the mother if any visitors were expected to arrive. While it is essential to gather information from the mother, such as whether any visitors were expected, this action does not address the immediate concern of a potentially missing newborn.Matching ID bands is a critical first step in ensuring the safety and security of all infants and mothers on the unit.
Choice B rationale:
Match ID bands of all infants and mothers on the unit. This is the correct answer. In a situation where a new mother believes her infant is missing, the nurse’s priority is to ensure the safety and security of all infants and mothers.Matching ID bands can help confirm the identity of each infant and mother and prevent any potential mix-ups or missing infants.
Choice C rationale:
Determine if the newborn is in the nursery. While it is essential to check the nursery to determine if the newborn is there, it should not be the first action taken.Matching ID bands of all infants and mothers is a more immediate and comprehensive approach to ensuring the safety and security of all patients on the unit.
Choice D rationale:
Activate the lockdown procedure. Activating the lockdown procedure should only be done in situations where there is a security threat or immediate danger to the safety of patients and staff. In this case, the primary concern is not a security threat but rather the potential misplacement of an infant.Matching ID bands and confirming the whereabouts of all infants and mothers are more appropriate initial actions.
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