A nurse is providing teaching with a client who has severe arthritis and has difficulty with stairs. What should the nurse include in the teaching?

Choice A reason: Talking at a rapid rate is not a good action to promote communication with a client who has hearing loss. Talking too fast can make it harder for the client to follow the conversation, lip-read, or use hearing aids. The nurse should talk at a normal rate and pause between sentences.

Choice B reason: Using short phrases is not a good action to promote communication with a client who has hearing loss. Using short phrases can make the message unclear, incomplete, or condescending. The nurse should use complete sentences and avoid jargon, slang, or abbreviations.

Choice C reason: Decreasing background noise is a good action to promote communication with a client who has hearing loss. Background noise can interfere with the client's ability to hear and understand the nurse. The nurse should reduce or eliminate any sources of noise, such as TV, radio, or other people, and choose a quiet and well-lit place to talk.

Choice D reason: Speaking in a loud voice is not a good action to promote communication with a client who has hearing loss. Speaking too loud can distort the sound, cause discomfort, or offend the client. The nurse should speak in a clear and natural voice and adjust the volume according to the client's feedback.

Choice A reason: Using a narrower cuff to repeat the BP measurement is an incorrect action by the nurse, as it can result in a falsely high reading. The nurse should use a cuff that fits the client's arm size and circumference.

Choice B reason: Measuring the client's BP in the other arm is the correct action by the nurse, as it can help to confirm the accuracy of the reading and rule out any possible errors or variations. The nurse should compare the readings from both arms and report any significant differences to the provider.

Choice C reason: Deflating the cuff faster when repeating the BP measurement is an incorrect action by the nurse, as it can result in a falsely low reading. The nurse should deflate the cuff at a rate of 2 to 3 mm Hg per second.

Choice D reason: Requesting a prescription for an antihypertensive medication is an inappropriate action by the nurse, as it is premature and unnecessary. The nurse should first verify the BP reading and identify the possible causes of the elevation, such as pain, anxiety, or medication effects. The nurse should also implement nonpharmacological interventions, such as positioning, relaxation, and oxygen therapy, before administering any medication.