A nurse in an outpatient clinic is caring for a client. Which of the following findings indicates the client is experiencing a hearing deficit?

Persistent repositioning of objects

No response to tactile stimuli

Decreased attention span

Presence of expressive aphasia

Answer and Explanation

The Correct Answer is C

A. Persistent repositioning of objects: Repositioning objects frequently is more likely to be related to issues like anxiety or cognitive concerns rather than a hearing deficit. It does not typically indicate a hearing issue.

B. No response to tactile stimuli: No response to tactile stimuli suggests a possible sensory deficit related to touch or neurological concerns, but it does not indicate a hearing deficit. Hearing deficits affect auditory perception, not tactile sensations.

C. Decreased attention span: A decreased attention span can be a sign of hearing impairment, as individuals with hearing deficits may have difficulty following conversations or may become distracted due to not fully engaging with their environment.

D. Presence of expressive aphasia: Expressive aphasia is related to difficulty with speech production and language, typically following neurological events like strokes. It is not directly associated with hearing deficits but rather with language processing.

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Correct Answer is C

Explanation

A. Herbal medicine: While herbal medicine may offer some benefits for relaxation or symptom management, it is not recommended immediately before surgery. Some herbs can interact with anesthesia or medications, and their effects are not always well understood.

B. Magnet therapy: Magnet therapy is a complementary therapy often used for pain management or to promote healing, but there is limited evidence to support its effectiveness for acute anxiety.

C. Guided imagery: Guided imagery helps reduce anxiety and promote relaxation. It involves imagining a calm and peaceful setting, which can help distract the mind and reduce pre-surgical stress. This method is safe and effective for managing anxiety.

D. Acupuncture: While acupuncture may be helpful for managing pain and stress, it requires specific knowledge and skill to perform. Acupuncture should not be performed immediately before surgery unless administered by a trained practitioner.

A. Cilent rates pain as 8 on a scale of 0 to 10 in their left knee B. Client reports no relief with pain medications C. Left knee wound is 3 cm by 2 cm with 1 cm depth D. Wound bed vascular with some approximation of the edges E. Mild purulent drainage noted

Correct Answer is ["A","B","C","E"]

Explanation

Rationale:

Client rates pain as 8 on a scale of 0 to 10 in their left knee. Client reports no relief with pain medications. The client’s pain has worsened from 4/10 despite pain medication, indicating the current pain management approach is ineffective, and the wound may not be healing as expected.
Mild purulent drainage noted: The presence of purulent drainage is a sign of infection, further indicating that the wound vac therapy has not been successful in preventing or managing infection at the wound site.
Left knee wound is 3 cm by 2 cm with 1 cm depth, compared to 2 cm by 2 cm with 1 cm depth one week ago: The increase in wound sizefrom 2cm by 2 cm to 3 cm by 2 cm suggests that the wound vac therapy is not promoting healing effectively, leading to a failure of wound closure.

Rationale for Incorrect Choices:

Wound bed vascular with some approximation of the edges: The wound bed being vascular with some approximation of the edges indicates that there is some healthy tissue and the edges of the wound are coming together. This suggests that some healing is occurring, although it may be slower than expected.

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A nurse in an outpatient clinic is caring for a client. Which of the following findings indicates the client is experiencing a hearing deficit?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who is anxious about their mastectomy scheduled in 2 hr. Which of the following complementary therapies should the nurse recommend to the client?

Correct Answer is C

Explanation

Correct Answer is ["A","B","C","E"]

Explanation

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