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 A
Explanation
A. Isoniazid is an antitubercular medication commonly used in the treatment of active tuberculosis (TB). One of the primary goals of TB treatment is to reduce the symptoms associated with the infection, such as cough and sputum production.
B. While weight loss and decreased appetite can be symptoms of active tuberculosis, the goal of treatment with isoniazid is to improve symptoms and promote recovery.
C. A positive sputum smear and culture would indicate ongoing TB infection or treatment failure, rather than the effectiveness of isoniazid therapy.
D. Vertigo (dizziness) and tinnitus (ringing in the ears) are not typical side effects or outcomes associated with isoniazid therapy.
Correct Answer is A
Explanation
A. Refer the client to the healthcare provider at the clinic to obtain a medication prescription is appropriate because it acknowledges the client's interest in taking oseltamivir to treat their influenza symptoms.
B. Advising the client that once symptoms occur it is too late to receive an influenza vaccination is not relevant to the client's question about taking oseltamivir to treat their existing influenza symptoms. It addresses the timing of influenza vaccination, which is typically recommended before the onset of flu season or at the beginning of flu season, rather than during an active infection.
C. Instructing the client that over-the-counter medications are sufficient to manage influenza symptoms is not accurate because while over-the-counter medications can help relieve some influenza symptoms such as fever, cough, and congestion, they do not directly treat the underlying viral infection.
D. Explaining to the client that antibiotics are not useful in treating viral infections such as influenza is true but does not address the client's specific question about taking oseltamivir to treat their influenza symptoms.
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