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.
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 B
Explanation
Choice A rationale
Contacting the patient’s family for approval before resuscitation is not appropriate when there is a Do Not Resuscitate (DNR) order. A DNR order is a legal document that indicates the patient’s wish not to undergo resuscitation in the event of cardiac or respiratory arrest.
Healthcare providers must respect this order and not seek additional approval from family members.
Choice B rationale
Respecting the order and refraining from initiating resuscitation is the correct action when there is a DNR order. This legal document reflects the patient’s decision to forgo resuscitation efforts, and healthcare providers are obligated to honor this decision to respect the patient’s autonomy and wishes.
Choice C rationale
Ignoring the order and proceeding with resuscitation is a violation of the patient’s rights and wishes. A DNR order must be followed to ensure that the patient’s preferences are respected, and disregarding it can lead to legal and ethical consequences.
Choice D rationale
Implementing the order only if the patient is in the ICU is incorrect. A DNR order applies in all healthcare settings, not just the ICU. Healthcare providers must follow the DNR order regardless of the patient’s location within the healthcare facility.
Correct Answer is D
Explanation
Choice A rationale
A DNR order does not mean that all medical treatments are withheld. It specifically indicates that CPR will not be performed if the patient’s heart stops.
Choice B rationale
While a DNR order allows for most medical treatments, it does not mean that all treatments are provided. CPR is specifically excluded.
Choice C rationale
A DNR order does not exclude medications. Patients with a DNR order can still receive medications and other treatments.
Choice D rationale
A DNR order means that CPR will not be performed in the event of cardiac arrest, but other medical treatments, including medications and comfort care, can still be provided.
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