A nurse on a medical-surgical unit is caring for a postoperative client who reports difficulty sleeping due to noise. Which of the following interventions is appropriate for the nurse to implement?

Avoid entering the client's room unless requested during the night.

Turn off alarms on bedside monitoring equipment.

Conduct staff communications away from the client's room.

Turn on the client's TV to distract from hallway noise.

Answer and Explanation

The Correct Answer is C

Choice A Reason:

Avoid entering the client's room unless requested during the night is inappropriate. While minimizing entries can reduce disruptions, it's important for the nurse to perform necessary checks and care interventions. Avoiding the room completely might compromise the client's safety or care.

Choice B Reason:

Turn off alarms on bedside monitoring equipment is inappropriate. Disabling alarms can jeopardize patient safety as these alarms often indicate critical changes in the client's condition. Adjusting alarm settings or investigating if noise levels can be reduced without compromising safety would be more appropriate.

Choice C Reason:

Conduct staff communications away from the client's room is appropriate. This intervention helps minimize noise levels near the client's room, creating a quieter environment conducive to sleep. Staff conducting communications away from the room reduces unnecessary disturbances that might affect the client's rest.

Choice D Reason:

Turn on the client's TV to distract from hallway noise is inappropriate. Introducing more noise, such as from a TV, might not effectively address the issue of sleep disturbance due to external noise. Additionally, it's essential to respect the client's preferences, and some may prefer a quiet environment for sleep rather than additional noise from a TV.

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Correct Answer is C

Explanation

Choice A Reason:

Turning the hearing aid off for 5 minutes is inappropriate action. Turning the hearing aid off may temporarily stop the whistling sound, but it doesn't address the underlying issue. Additionally, it would leave the client without the ability to hear during that time.

Choice B Reason:

Cleaning the hearing aid with isopropyl alcohol is inappropriate action. While cleaning the hearing aid is important for maintenance, using isopropyl alcohol may not directly address the issue of whistling. It's a good practice for routine cleaning, but it may not be the solution in this specific case.

Choice C Reason:

Decreasing the volume on the hearing aid is appropriate action. Whistling sounds, also known as feedback, can occur when the volume on the hearing aid is too high. Decreasing the volume is a reasonable first step to address this issue.

Choice D Reason:

Soaking the hearing aid in warm water is inappropriate. Soaking a hearing aid in warm water is not recommended, as moisture can damage the internal components of the hearing aid. It's essential to keep hearing aids dry to ensure proper functioning.

A. A client can withdraw consent at any time. B. A family member should witness the client's consent. C. A nurse is responsible for obtaining informed consent. D. A minor who is pregnant is unable to give consent.

Correct Answer is A

Explanation

Choice A Reason:

A client can withdraw consent at any time is appropriate. This statement is accurate. Informed consent is a voluntary process, and a client has the right to withdraw their consent at any point before or during a medical procedure.

Choice B Reason:

A family member should witness the client's consent is not a standard practice. Typically, a witness is someone who is neutral and not directly involved in the procedure.

Choice C Reason:

A nurse is responsible for obtaining informed consent is not entirely accurate. While nurses may provide information and answer questions, obtaining informed consent is typically the responsibility of the healthcare provider performing the procedure.

Choice D Reason:

A minor who is pregnant is unable to give consent is not a universally true statement. The ability of a minor to give consent can vary based on legal and ethical considerations, and it may depend on local laws and regulations.

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A nurse on a medical-surgical unit is caring for a postoperative client who reports difficulty sleeping due to noise. Which of the following interventions is appropriate for the nurse to implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an older adult client who has a hearing aid. Which of the following actions should the nurse take when the client reports hearing a whistling sound from the hearing aid?

Correct Answer is C

Explanation

A charge nurse is reinforcing teaching with a newly licensed nurse about informed consent. Which of the following information include?

Correct Answer is A

Explanation

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