A nurse is communicating with a child who has hearing loss.
Which of the following actions should the nurse take?

Maintain a neutral facial expression when speaking to the child

Use light touch when initiating conversation

Change positions frequently to maintain the child’s attention

Exaggerate the pronunciation of words

Answer and Explanation

The Correct Answer is B

Choice A rationale

Maintaining a neutral facial expression when speaking to a child with hearing loss is not the most effective

communication strategy. Facial expressions are a crucial part of non-verbal communication, and they can provide important context and emotional cues that can aid in understanding.

Choice B rationale

Using light touch when initiating conversation can be an effective way to gain the child’s attention without startling them. This can be especially helpful for a child with hearing loss, as they may not hear someone approaching or starting to speak.

Choice C rationale

Changing positions frequently to maintain the child’s attention is not recommended. It’s better to maintain a steady position facing the child to facilitate lip-reading and non-verbal communication.

Choice D rationale

Exaggerating the pronunciation of words can actually make lip-reading more difficult for the child. It’s better to speak clearly and at a normal pace.

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Correct Answer is D

Explanation

Choice A rationale

Applying a warm pack to the injection site prior to administration is not recommended as it does not effectively reduce pain during immunizations.

Choice B rationale

Asking the parent to leave the room during the injections is not recommended as it may increase the infant’s anxiety and distress.

Choice C rationale

Administering the injections in the deltoid muscle is not recommended for a 2-month-old infant. The recommended site for intramuscular administration of immunizations in children under 18 months of age is the vastus lateralis (anterolateral thigh)3.

Choice D rationale

Administering the injections while the infant is breastfeeding is recommended. Breastfeeding during immunizations has been shown to significantly reduce pain and distress in infants.

A. adolescent who is in skin traction and reports pain level of 7 on a scale of 0 to 10 B. adolescent who has sickle cell anemia and slurred speech C. toddler who has a new diagnosis of osteomyelitis and is to receive an IV bolus D. toddler who has partial burn thickness burns on the right hand and requires a dressing change .

Correct Answer is B

Explanation

When prioritizing care for multiple clients, the nurse should first assess the client who is most unstable and has the most urgent needs. In this case, the adolescent with sickle cell anemia and slurred speech should be assessed first. Slurred speech could indicate a stroke, which is a life-threatening condition that requires immediate medical attention. The other clients, while they also require care, are not in immediate danger and can be assessed after the adolescent with sickle cell anemia.

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A nurse is communicating with a child who has hearing loss.Which of the following actions should the nurse take?

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A nurse is communicating with a child who has hearing loss.
Which of the following actions should the nurse take?