A client's daughter asks the nurse for assistance in communicating with her mother who has sensorineural hearing loss.
Which point is appropriate for the nurse to teach?

Repeat short phrases at slightly increased speed.

Limit her daily caffeine intake.

Face her directly when you are speaking to her.

Occasionally vary between higher and lower pitch of your voice.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Speaking at increased speed may hinder comprehension in individuals with sensorineural hearing loss, as clarity diminishes with rapid verbalization.

Choice B rationale

Reducing caffeine intake is irrelevant to auditory function; caffeine influences systemic effects but does not aid hearing impairment.

Choice C rationale

Facing the individual directly ensures clear visual cues, including lip reading, critical for communication with sensorineural hearing loss.

Choice D rationale

Varying pitch disrupts consistency in auditory perception; maintaining a steady tone aids clarity for impaired auditory processing.

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Correct Answer is B

Explanation

Choice A rationale

Administering oxygen at 6 liters per minute via nasal cannula risks hypercapnia in a client with emphysema due to impaired CO2 elimination. Oxygen should be titrated to maintain safe saturation levels, usually 88–92%.

Choice B rationale

Ipratropium is a bronchodilator that safely alleviates airway constriction in emphysema without systemic cardiovascular effects, making it suitable for a client with coronary artery disease and chronic obstructive pulmonary conditions.

Choice C rationale

Propranolol is contraindicated in emphysema due to its beta-blocking effects, which may exacerbate bronchoconstriction and reduce respiratory function, posing a significant risk to the client’s health.

Choice D rationale

Organic herbal supplements lack evidence-based safety and efficacy, especially in complex medical conditions like coronary artery disease and emphysema. They can also interact adversely with prescribed medications.

Correct Answer is ["56"]

Explanation

Step 1 is (250 mL ÷ 90 min) × 20 gtt/mL.

Step 2 is (2.777 mL/min × 20 gtt/mL).

Step 3 is 55.55 gtts/min. The final calculated answer is 56 gtts/min.

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A client's daughter asks the nurse for assistance in communicating with her mother who has sensorineural hearing loss.Which point is appropriate for the nurse to teach?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has a past medical history of coronary artery disease and emphysema.The nurse knows which agent is safest to give?

Correct Answer is B

Explanation

A client is to receive 250 mL of IV fluid over 90 minutes by gravity. The drop factor on the IV tubing is 20 gtts/mL. How many gtts/min should be administered?

Correct Answer is ["56"]

Explanation

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A client's daughter asks the nurse for assistance in communicating with her mother who has sensorineural hearing loss.
Which point is appropriate for the nurse to teach?