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A nurse is caring for a client who is postoperative.

Exhibits

Which of the following factors could present a barrier to the nurse effectively communicating with the client? Select all that apply.

Client's hearing deficit

Volume of the client's television

Numerous visitors in the client's room

Increase in pain after ambulation

Adverse effects of opioid analgesic

Using earphones while listening to music

Answer and Explanation

Correct Answer : A,B,C,D

Client's hearing deficit: The client’s hearing loss poses a significant barrier to effective communication. Without a hearing aid, the client may have difficulty understanding verbal communication, leading to misunderstandings.

Volume of the client's television: A loud television creates distracting background noise, making it challenging for the nurse to communicate clearly. This can hinder the client's ability to hear and comprehend important information during interactions.

Numerous visitors in the client's room: Having multiple visitors can create distractions and noise, making it difficult for the nurse to effectively communicate with the client. Visitors may also divert the client’s attention, impacting their ability to engage in discussions with the nurse.

Increase in pain after ambulation: The reported increase in pain can affect the client’s focus and engagement in communication. When experiencing pain, the client may find it challenging to concentrate on conversations, which impacts the overall effectiveness of communication with the nurse.

Adverse effects of opioid analgesic: While not explicitly mentioned in the initial scenario, opioid analgesics can cause side effects such as sedation and confusion, which may impair the client’s ability to communicate effectively. This could lead to misunderstandings and miscommunication.

Using earphones while listening to music: This factor, if present, would create a barrier to communication, as it would prevent the client from hearing the nurse's questions or instructions. However, it was not explicitly stated in the scenario.

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Correct Answer is B

Explanation

A. Stand with the knees locked: Locking the knees can lead to instability and increase the risk of injury to both caregivers. It is important to maintain flexibility in the knees to facilitate movement and maintain balance while performing transfers.

B. Flex the hips and knees: This posture helps both caregivers maintain a low center of gravity and utilize their leg muscles for lifting and moving, which is essential for preventing injury. By bending at the hips and knees, caregivers can exert more force while reducing the strain on their backs, ensuring a safer transfer for both the patient and themselves.

C. Shift the body weight from the front leg to the back leg: While shifting body weight is important during lifting, it is more effective when done in conjunction with bending at the hips and knees. This option does not provide the most optimal posture for lifting and moving the patient safely.

D. Stand with the feet together: Standing with feet together decreases stability and balance, which can increase the risk of falling or injury during a transfer. Caregivers should stand with their feet shoulder-width apart to enhance their base of support and provide better stability while moving a patient.

A. Droplet B. Contact C. Protective D. Airborne E. Full semen

Correct Answer is A

Explanation

A. Droplet: Pertussis, also known as whooping cough, is transmitted through respiratory droplets when an infected person coughs or sneezes. Therefore, droplet precautions are necessary to prevent the spread of the infection to others. This includes wearing a surgical mask when within 3 feet of the client and ensuring the client wears a mask when outside of their room.

B. Contact: Contact precautions are used for infections that can be spread through direct or indirect contact with the patient or contaminated surfaces. While there may be some overlap, contact precautions are not the primary focus for pertussis transmission.

C. Protective: Protective precautions (also known as reverse isolation) are utilized to protect immunocompromised patients from infections. This is not applicable for a patient with pertussis, as the focus is on preventing the spread of the infection rather than protecting the patient from pathogens.

D. Airborne: Airborne precautions are used for infections that are transmitted via airborne droplet nuclei, such as tuberculosis or measles. Pertussis does not fall under this category, as it is primarily transmitted through larger respiratory droplets.

E. Full semen: This option is not a recognized type of precaution. The correct term should focus on standard and transmission-based precautions relevant to infectious diseases.

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A nurse is caring for a client who is postoperative. Exhibits Which of the following factors could present a barrier to the nurse effectively communicating with the client? Select all that apply.

Nursing Test Bank

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When preparing to move a patient in bed with the help of an assistant, which posture will both caregivers use to ensure their own safety?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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A nurse is caring for a client who is postoperative.

Exhibits

Which of the following factors could present a barrier to the nurse effectively communicating with the client? Select all that apply.