A nurse is completing an admission assessment for a client who has hearing loss. Which of the following actions should the nurse take?

Limit the use of hand gestures when communicating with the client.

Speak to the client with an increased pitch.

Use written materials to assist with communication.

Limit visitors to avoid communication misunderstandings.

Answer and Explanation

The Correct Answer is C

A. Limit the use of hand gestures when communicating with the client. Hand gestures enhance communication for clients with hearing loss. Visual cues such as gestures, facial expressions, and lip reading can help improve understanding.

B. Speak to the client with an increased pitch. Speaking in an increased pitch is not recommended because higher frequencies are often harder for clients with hearing loss to detect. Instead, the nurse should speak clearly, slowly, and in a lower tone.

C. Use written materials to assist with communication. Written materials help clients with hearing loss understand important information, especially if they rely on lip reading or have significant hearing impairment.

D. Limit visitors to avoid communication misunderstandings. Limiting visitors is unnecessary and may lead to social isolation. Instead, the nurse should encourage communication using appropriate strategies, such as writing or sign language.

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Correct Answer is C

Explanation

A. Administer antibiotic therapy to the client. This is a priority intervention, but it is not the first action. Before administration, infection control measures should be in place.

B. Provide the client with analgesics as needed. Pain management is important but is not the first priority. The spread of infection must be controlled immediately.

C. Initiate droplet precautions for the client. Meningococcal meningitis is highly contagious. Droplet precautions (mask, private room) must be initiated immediately to prevent transmission before other interventions.

D. Educate the client about the meningococcal vaccine. Vaccination is a preventive measure but does not address the immediate risk of infection spread.

Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"E"}

Explanation

The nurse is planning care for the client. The nurse should place the client in a High Fowler's or Semi Fowler's position.

High Fowler's Position: Elevating the head of the bed to a high Fowler's position (60-90 degrees) can help improve breathing and oxygenation by allowing the lungs to expand more easily.
Semi Fowler's Position: A semi Fowler's position (30-45 degrees) is also beneficial for respiratory distress, providing some elevation to aid in breathing while being more comfortable than lying flat.

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A nurse is completing an admission assessment for a client who has hearing loss. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who has meningococcal meningitis. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

A nurse is caring for a client on a medical-surgical unit. Exhibits Drag words from the choices below to fill in each blank in the following sentence. The nurse is planning care for the client. The nurse should place the client in a dropdown or dropdown.

Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"E"}

Explanation

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