Which strategy should a nurse include when communicating with a client who is blind?

Speak loudly since the client is unable to observe nonverbal cues.

Touch the client prior to speaking to gain the client’s attention.

Orient the client to the arrangement of the room to promote independence.

Keep the bed in the highest position to prevent the client from getting out of bed alone.

Answer and Explanation

The Correct Answer is C

Orient the client to the arrangement of the room to promote independence. This strategy helps the client who is blind to navigate the environment safely and confidently. It also shows respect for the client’s autonomy and dignity.

Choice A is wrong because speaking loudly is not necessary for a client who is blind, unless they also have hearing impairment. Speaking loudly may imply that the client is less intelligent or capable, which is not true.

Choice B is wrong because touching the client prior to speaking may startle or frighten them. It is better to identify oneself verbally and ask for permission before touching the client.

Choice D is wrong because keeping the bed in the highest position may increase the risk of injury if the client tries to get out of bed alone. It also restricts the client’s mobility and independence, which may affect their self-esteem and quality of life.

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Correct Answer is D

Explanation

The question asks how many milligrams of the medication will be in 1 mL of D5W. To find this, we need to know the concentration of the medication in the solution.

Concentration is the amount of medication per unit volume of solution. We can use this formula:

Concentration = Mass / Volume

We know that 250 mg of the medication is diluted in 500 mL of D5W. So we can plug these values into the formula:

Concentration = 250 mg / 500 mL Simplifying, we get:

Concentration = 0.5 mg / mL

This means that there are 0.5 mg of the medication in every 1 mL of D5W. So the answer is

To check our answer, we can use another formula:

Mass = Concentration x Volume

If we want to find the mass of the medication in 1 mL of D5W, we can multiply the concentration by the volume:

Mass = 0.5 mg / mL x 1 mL Simplifying, we get:

Mass = 0.5 mg

This matches our answer.

The other choices are wrong because they do not use the correct formula or values. Here is why:

Choice A is wrong because it uses the inverse of the concentration (1 / 0.5) instead of the concentration (0.5).

Choice B is wrong because it uses the mass of the medication (250 mg) instead of the concentration (0.5 mg / mL).

A. “I don’t know because I am off duty now and I think you need to ask the nurse coming on this shift.”. B. “That is privileged, confidential information and I can’t discuss it with you now.”. C. “Why don’t we step off the elevator to discuss this in a more private area?”. D. “The client was stable before I left 30 minutes ago, but had to be restrained for agitation.”.

Correct Answer is C

Explanation

The nurse should respect the client’s privacy and confidentiality by not discussing the client’s condition in a crowded elevator, even with the health care provider. The nurse should suggest a more private area to have the conversation.

Choice A is wrong because it shows a lack of professionalism and accountability. The nurse should be able to provide a brief update on the client’s status to the health care provider, even if the nurse is off duty.

Choice B is wrong because it implies that the healthcare provider does not have the right to access the client’s information, which is not true. The health care provider is part of the health care team and has a legitimate need to know the client’s condition.

Choice D is wrong because it violates the client’s privacy and confidentiality by disclosing sensitive information in front of other people. The nurse should not share any details about the client’s condition or treatment without the client’s consent or unless it is necessary for the client’s care.

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Which strategy should a nurse include when communicating with a client who is blind?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When 250 mg of a medication is diluted in 500 mL of 5% dextrose in water, how many milligrams of the medication will be in 1 mL of D5W?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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