A nurse is teaching a client about how to use her new hearing aids. Which of the following statements should the nurse identify as an indication that the client needs further instruction?
“I will clean the hearing aids with alcohol wipes.”
“I will expect the hearing aids to whistle when I cup my hand over them.”
“I will not use hairspray if I am wearing the hearing aids.”
“I will change the batteries once a week.”
The Correct Answer is A
A: Cleaning hearing aids with alcohol wipes is not recommended as it can damage the devices. The client should use a soft, dry cloth or a cleaning tool designed for hearing aids.
B: Expecting the hearing aids to whistle when cupping a hand over them is normal. This feedback occurs due to the sound being reflected back into the microphone.
C: Not using hairspray while wearing hearing aids is correct. Hairspray can clog the microphone and other components of the hearing aids.
D: Changing the batteries once a week is a reasonable practice, depending on the usage and type of hearing aids. This statement does not indicate a need for further instruction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A: Debriding the wound is the next step for a black (necrotic) pressure ulcer. Removing the dead tissue is essential to promote healing and prevent infection.
B: Managing drainage is important for wound care but is not the immediate next step for a necrotic ulcer.
C: Documenting the wound is necessary but does not address the need for debridement.
D: Monitoring the wound is important, but active intervention (debridement) is required for a necrotic ulcer to promote healing.
Correct Answer is C
Explanation
A: Clostridium difficile infection typically develops after prolonged antibiotic use and is not the most likely cause of diarrhea immediately after starting enteral feeding.
B: Antibiotic therapy can cause diarrhea, but it is not the most likely cause in this scenario where the diarrhea started soon after beginning enteral feeding.
C: Formula intolerance is the most likely cause of diarrhea shortly after starting enteral feeding. The patient’s digestive system may not tolerate the formula well, leading to diarrhea.
D: Bacterial contamination is a possible cause but is less likely to cause immediate diarrhea after starting enteral feeding compared to formula intolerance. Proper handling and preparation of the formula should minimize this risk.
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