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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. Twist at the waist when she moves an object to one side: Twisting at the waist can place excessive strain on the lower back and increase the risk of injury. Instead, the client should pivot her whole body to move an object, which helps maintain spinal alignment and reduces strain.

B. Bend at the knees when picking up an object: This instruction is crucial for preventing back strain. Bending at the knees allows the client to use her legs' strength to lift the object rather than putting pressure on the back. This technique helps protect the spine and promotes safe lifting practices.

C. Hold an object away from her body as she lifts it: Holding an object away from the body increases leverage and strain on the back muscles. The client should keep the object close to her body while lifting to maintain better balance and reduce the risk of injury.

D. Relax her abdominal muscles when she lifts an object: Engaging the abdominal muscles provides support to the spine during lifting. Relaxing the abdominal muscles can lead to a lack of core stability, increasing the risk of back injury. The client should be encouraged to engage her core muscles while lifting.

A. "I will wear gloves and a gown when bathing a client who has open skin lesions." B. "I will wear gloves when measuring a client's blood pressure." C. "I will wear gloves whenever I am in contact with clients." D. 1 will wear gloves to minimize the number of times I have to wash my hands."

Correct Answer is A

Explanation

A. "I will wear gloves and a gown when bathing a client who has open skin lesions.": This statement indicates an understanding of the appropriate use of personal protective equipment (PPE) in a situation where there is a risk of exposure to blood or bodily fluids. Wearing gloves and a gown helps protect the AP from potential pathogens present in the client's open skin lesions.

B. "I will wear gloves when measuring a client's blood pressure.": While it may be appropriate to wear gloves for certain procedures, it is not universally required to wear gloves when measuring blood pressure unless there are specific concerns about contamination or exposure to body fluids. This statement does not demonstrate a clear understanding of when gloves are necessary.

C. "I will wear gloves whenever I am in contact with clients.": This statement suggests a lack of understanding of the appropriate use of gloves. Gloves should be used when there is a risk of contact with blood, body fluids, or open wounds, but they are not necessary for all interactions with clients, especially if there is no risk of contamination.

D. "I will wear gloves to minimize the number of times I have to wash my hands.": This statement indicates a misunderstanding of the primary purpose of gloves. Gloves are used to protect both the caregiver and the client from infection, and hand hygiene should still be performed before and after glove use. The focus should be on infection control rather than convenience.

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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.

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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.