An older female client is hospitalized with a fractured femur. During a routine nursing assessment, she repeatedly asks the nurse to "speak up" so that she can hear the questions. Which action is best for the nurse to take?

Over-enunciate word syllables.

Exaggerate nonverbal expressions.

Decrease speaking speed.

Raise voice volume to a shout.

Answer and Explanation

The Correct Answer is C

A. Over-enunciating word syllables can be perceived as patronizing and may not improve understanding for clients with hearing difficulties.
B. Exaggerating nonverbal expressions can help convey meaning, but it does not address the immediate need for clear verbal communication.
C. Decreasing speaking speed allows the client more time to process what is being said, which is particularly important for older adults who may need additional time to understand spoken words.
D. Raising voice volume to a shout may not be necessary and could distort the clarity of speech, making it harder for the client to understand.

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Correct Answer is ["A","C","D","E"]

Explanation

A. Performing hand hygiene is crucial to prevent the spread of infection before any patient interaction or procedure.
B. Brushing the client’s teeth is not necessary before applying an oxygen mask and does not pertain to immediate care.
C. Checking the skin around the face is important to ensure there are no irritations or breakdowns that could affect the mask's fit and the patient's comfort.
D. Identifying the client using 2 identifiers is a critical safety step to ensure the correct patient receives the intended care.
E. Assessing respiratory function is important to determine the severity of the client’s condition and the appropriate oxygen delivery method.
F. Donning gloves is not required for applying a simple face mask unless there is potential for contact with blood or bodily fluids.
G. Determining if the client needs to go to the bathroom is not directly related to applying the face mask and should be assessed but is not critical before mask application.

A. Trouble sleeping. B. Recent oral intake. C. Unexplained weight loss. D. Difficulty with urination.

Correct Answer is B

Explanation

A. Trouble sleeping may be relevant to the client's overall health but does not directly impact the administration of pyridostigmine.
B. Recent oral intake is crucial to determine if the client can swallow effectively, as pyridostigmine can affect muscle strength, including those involved in swallowing.
C. Unexplained weight loss could indicate other issues but is not immediately pertinent to the administration of this medication.
D. Difficulty with urination may be important for other reasons but does not directly relate to the effects or administration of pyridostigmine.

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An older female client is hospitalized with a fractured femur. During a routine nursing assessment, she repeatedly asks the nurse to "speak up" so that she can hear the questions. Which action is best for the nurse to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Exhibits The nurse is preparing to set up the oxygen administration and apply the simple face mask. Which should the nurse do before applying the face mask? Select that apply.

Correct Answer is ["A","C","D","E"]

Explanation

A client with myasthenia gravis receives a new prescription for pyridostigmine. Which information should the nurse obtain prior to administering the medication?

Correct Answer is B

Explanation

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