An older adult client is hospitalized with a fractured femur. During a routine nursing assessment, the client repeatedly asks the nurse to "speak up" so that the client can hear the questions. Which action is best for the nurse to take?
Raise voice volume to a shout.
Exaggerate nonverbal expressions.
Decrease speaking speed.
Over-enunciate word syllables.
The Correct Answer is D
A. Raising the voice volume to a shout can be startling for the client and may come across as aggressive or disrespectful.
B. Exaggerating nonverbal expressions might not effectively address the client's difficulty in hearing. While nonverbal communication is essential, especially for older adults with hearing impairments, exaggerating gestures may not necessarily improve communication clarity.
C. Speaking more slowly can help the client better understand what is being said without the nurse needing to shout, which might cause discomfort or further confusion.
D. Over-enunciating or exaggerating expressions can appear patronizing, and shouting can be distressing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["100"]
Explanation
Vancomycin dosage: 500 mg
Concentration of vancomycin solution: 500 mg per 100 mL
Total volume of solution for each dose: 100 mL (since the concentration is 500 mg per 100 mL) To administer 500 mg of vancomycin, we need 100 mL of the solution.
To administer the medication over 1 hour, we need to deliver the entire 100 mL over 1 hour. Therefore, the infusion rate (in mL/hr) would be 100 mL/hr.
Correct Answer is C
Explanation
C. Describing the use of an elimination diet to find trigger foods is a helpful approach. Crohn's disease can have trigger foods that worsen symptoms like abdominal pain, diarrhea, and bloating. By eliminating potential trigger foods one at a time and observing symptom changes, the client can identify which foods exacerbate their condition.
A. Explaining that the need to restrict fluids is the primary limitation is incorrect. Crohn's disease doesn't typically require fluid restriction unless complications like severe diarrhea or dehydration occur.
B. Instructing the client to avoid foods with gluten, such as wheat bread, is also not accurate unless the client has been diagnosed with celiac disease or has a gluten sensitivity.
D. Advising the client to limit foods that are high in calcium and iron is not generally recommended unless there are specific issues like intestinal strictures or obstructions that limit absorption.
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