A nurse is caring for a patient with moderate vision impairment.
What actions should the nurse take?
Open shades on windows in the patient’s room to provide direct lighting.
Face the patient when speaking to them.
Use gestures to communicate with the patient.
Speak loudly when talking to the patient.
Answer and explanation The
The Correct Answer is B
Choice A rationale
While adequate lighting is important for people with vision impairment, direct lighting from open window shades can create glare, which can make vision problems worse.
Choice B rationale
Facing the patient when speaking to them can help the patient use visual cues to better understand the conversation.
Choice C rationale
Using gestures can be helpful for some patients with vision impairment, but it may not be beneficial for a patient with moderate vision impairment who may not be able to see the gestures clearly.
Choice D rationale
Speaking loudly is not necessary for a patient with vision impairment unless they also have a hearing impairment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Increasing attendance at community social activities may not be a realistic goal for a patient in hospice care with Stage 4 breast cancer. The patient’s physical condition and energy levels may limit their ability to participate in such activities.
Choice B rationale
Receiving medication to minimize episodes of breakthrough pain is a realistic and important goal for a patient in hospice care. Effective pain management is a key aspect of end-of-life care.
Choice C rationale
Experiencing a weight gain of one to two pounds per week may not be a realistic goal for a patient in hospice care with Stage 4 breast cancer. Patients at this stage of illness often experience weight loss, not gain.
Choice D rationale
Verbalizing an understanding of the mode of disease transmission may not be a relevant goal for a patient in hospice care with Stage 4 breast cancer. The focus of care at this stage is typically on comfort and quality of life, rather than disease education.
Correct Answer is B
Explanation
Choice A rationale
Hypoglycemia, or low blood sugar, is not typically a manifestation of the fight-or-flight response. In fact, the opposite is true. During the fight-or-flight response, the body’s glucose levels often increase to provide extra energy for the perceived threat.
Choice B rationale
Dilated pupils are a common physical manifestation of the fight-or-flight response. This physiological change allows more light to enter the eyes, enhancing vision and awareness of the environment during a stressful event.
Choice C rationale
Bronchial airway constriction is not typically associated with the fight-or-flight response. In fact, the bronchial airways often dilate during this response to allow for increased oxygen flow, which is necessary for physical exertion.
Choice D rationale
Decreased blood pressure is not a typical response to stress. During the fight-or-flight response, blood pressure usually increases to enhance blood flow to the muscles and brain.
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