During an interview, an older adult client answers some questions inappropriately. The practical nurse (PN) observes there is a hearing aid in one ear. Which intervention is most helpful in assisting the client to hear the PN's question?

Raise the pitch of your voice and speak slower.

Sit with the light of the window behind you as you speak.

Restate questions articulating consonants carefully.

Stand above the client and speak loudly.

Answer and Explanation

The Correct Answer is C

A. Raise the pitch of your voice and speak slower: Higher pitch may make it harder for older adults to hear; slowing speech can help but low pitch is better.
B. Sit with light of window behind you: Causes glare and makes lip reading harder.
C. Restate questions articulating consonants carefully: Clear articulation improves comprehension without straining the voice.
D. Stand above client and speak loudly: Loudness can distort sound and is uncomfortable.

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Correct Answer is A

Explanation

A. Check for swelling underneath the elbow: Swelling suggests infiltration or extravasation, which is a common cause of occlusion alarms and must be assessed immediately.
B. Measure fluid intake and output: Not directly related to resolving the occlusion alarm.
C. Compare the radial pulse volume bilaterally: Not relevant to the occlusion alarm.
D. Assess range of motion of the joint: May identify kinking from joint movement but swelling should be checked first.

A. Limit play with the stuffed toy when out of tent. B. Allow the child to have the stuffed toy in the tent. C. Ask the mother to wash the toy daily at home. D. Spray toy with disinfectant before placing in tent.

Correct Answer is B

Explanation

A. Limit play with the stuffed toy when out of tent: Doesn’t address infection control inside tent.
B. Allow the child to have the stuffed toy in the tent: Familiar items reduce anxiety; mist tent moisture doesn’t require toy exclusion if clean.
C. Ask the mother to wash the toy daily: Not necessary unless visibly soiled; overburdens family.
D. Spray toy with disinfectant before placing in tent: Disinfectant residue may be harmful to child.

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During an interview, an older adult client answers some questions inappropriately. The practical nurse (PN) observes there is a hearing aid in one ear. Which intervention is most helpful in assisting the client to hear the PN's question?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An older client with a continuous peripheral infusion in the antecubital fossae site is reporting that the infusion pump keeps beeping. The practical nurse (PN) determines the pump is displaying a digital alarm reading, "occlusion." Which client assessment should the PN perform first?

Correct Answer is A

Explanation

The mother of a child who is hospitalized with croup and is in a mist tent brings the child's favorite stuffed animal to the hospital. Which action should the practical nurse (PN) take?

Correct Answer is B

Explanation

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