A nurse is caring for a client who is hard of hearing. What action should the nurse take?

Speak loudly and use hand gestures.

Stand with the light behind you.

Use short, simple sentences.

Avoid the use of written communication.

Answer and Explanation

The Correct Answer is C

Choice A rationale
Speaking loudly can be counterproductive as it may distort the sound and make it harder for the client to understand. Using hand gestures can be helpful, but it should be combined with clear, simple sentences.
Choice B rationale
Standing with the light behind you can create shadows on your face, making it difficult for the client to read your lips. It is better to face the client directly with good lighting on your face.
Choice C rationale
Using short, simple sentences is effective for communicating with clients who are hard of hearing. It helps ensure that the client can understand the information being conveyed.
Choice D rationale
Avoiding the use of written communication is not advisable. Written communication can be a helpful tool for clients who are hard of hearing, as it provides a visual aid to support verbal communication.

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Correct Answer is A

Explanation

Choice A rationale
The assessment component of the SBAR report includes the nurse’s evaluation of the patient’s condition, such as pain level, blood pressure, and heart rate. This information is critical for the provider to understand the patient’s current status and make informed decisions.
Choice B rationale
The situation component of the SBAR report provides a brief overview of the patient’s current situation, such as the reason for the call or the immediate concern. It does not include detailed assessment data.
Choice C rationale
The recommendation component of the SBAR report includes the nurse’s suggestions for the next steps or actions to be taken. It does not include the patient’s assessment data.
Choice D rationale
The background component of the SBAR report provides relevant medical history and context for the patient’s current condition. It does not include the detailed assessment data.

A. Feeding a stroke client who has difficulty in swallowing. B. Completing a sterile dressing change to a pressure ulcer. C. Reapplying a condom catheter for a client with urinary incontinence. D. Reinforcing teaching with a client who is learning how to administer insulin.

Correct Answer is B

Explanation

Choice A rationale
Feeding a stroke client who has difficulty in swallowing is a task that requires careful attention to prevent aspiration and choking. While this task is important, it can be delegated to a trained nursing assistant or a licensed practical nurse (LPN) under the supervision of an RN. The RN should focus on tasks that require higher levels of clinical judgment and expertise.
Choice B rationale
Completing a sterile dressing change to a pressure ulcer is a task that requires the expertise and clinical judgment of an RN. Sterile dressing changes involve maintaining a sterile field, assessing the wound, and applying appropriate dressings. This task is critical for preventing infection and promoting wound healing, making it appropriate for the RN to perform.
Choice C rationale
Reapplying a condom catheter for a client with urinary incontinence is a routine procedure that can be delegated to a trained nursing assistant or an LPN. This task does not require the advanced clinical skills and judgment of an RN, allowing the RN to focus on more complex and critical tasks.
Choice D rationale
Reinforcing teaching with a client who is learning how to administer insulin is an important task, but it can be delegated to an LPN under the supervision of an RN. The RN should prioritize tasks that require higher levels of clinical expertise and judgment, such as sterile dressing changes and complex assessments.

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A nurse is caring for a client who is hard of hearing. What action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on a medical-surgical unit is preparing to contact a provider about a client’s condition. The nurse notes the client’s post-op pain is 8/10, BP is 140/90, and HR is 110. The nurse should include information about the client in which component of the SBAR report?

Correct Answer is A

Explanation

A nurse on a medical-surgical unit has received a report on four clients. Which of the following clients should the nurse assign to the RN?

Correct Answer is B

Explanation

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A nurse is caring for a client who is hard of hearing. What action should the nurse take?

The nurse is preparing a teaching plan for a client who is in the implementation step of the teaching plan. Which of the following actions should the nurse take?

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