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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
The correct answer is Choice A.
Choice A rationale: Increased restlessness in a toddler with a full-thickness burn may indicate hypoxia, pain, or shock. These conditions require immediate medical attention to prevent further complications and ensure proper management of the burn injury.
Choice B rationale: A respiratory rate of 25/min is within the normal range for toddlers (20-30 breaths per minute). This finding does not indicate an immediate concern that requires reporting to the provider.
Choice C rationale: Bowel sounds of 20/min are within the normal range (5-30 sounds per minute). This finding does not indicate any gastrointestinal complications that need to be reported to the provider.
Choice D rationale: Urinary output of 35 mL/hr is within the normal range for toddlers (1-2 mL/kg/hr). This finding indicates adequate kidney function and hydration status, so it does not require immediate reporting.
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