The nurse is caring for a client with moderate vision loss. Which intervention would be most appropriate for this client?

Ask the client which language they would like the written materials.

Ensure the client has access to all corrective eyewear.

Speak in a loud voice directly at the patient.

Place client close to the nurse's station.

None

Answer and Explanation

The Correct Answer is B

A. Ask the client which language they would like the written materials. While providing written materials in the client’s preferred language is important for communication, this does not directly address the client's vision loss. It may help with understanding but does not enhance their ability to see the materials.

B. Ensure the client has access to all corrective eyewear. This is the most appropriate intervention. Ensuring that the client has access to corrective eyewear, such as glasses or contact lenses, will help maximize their remaining vision. This is a practical and supportive action for someone with moderate vision loss.

C. Speak in a loud voice directly at the patient. Vision loss does not imply hearing impairment, so speaking in a loud voice is unnecessary and could be confusing or frustrating for the client. Communication should be clear and normal in volume, not assuming a hearing deficit.

D. Place the client close to the nurse's station. Placing the client close to the nurse’s station may enhance safety and allow for quicker assistance. However, it is not specifically related to addressing the client's vision loss and may not be necessary depending on their overall condition.

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Correct Answer is D

Explanation

The correct answer is choice D, Jell-O, broth, apple juice. A clear liquid diet consists of fluids and foods that are clear and liquid at room temperature. These foods are easy to digest and leave no residue in the gastrointestinal tract. Examples include water, clear fruit juices, clear broths, tea, coffee without cream, and Jell-O.

A. Along either upper gum line, adjacent to an incisor. B. Deep in the posterior sublingual pocket. C. In the inferior buccal space on either side of the tongue. D. Superior to the tongue with the tip touching the hard palate.

Correct Answer is B

Explanation

A. Along either upper gum line, adjacent to an incisor:Placing the thermometer along the upper gum line near the incisors would not accurately reflect the body's core temperature. The posterior sublingual pocket provides a more reliable reading.

B. Deep in the posterior sublingual pocket:The sublingual pocket, located under the tongue toward the back, is the best place for measuring oral temperature. This area has a good blood supply from the carotid arteries, making it ideal for an accurate temperature reading.

C. In the inferior buccal space on either side of the tongue:The buccal space is not ideal for temperature measurement, as it does not have the same consistent blood supply and is more prone to error due to airflow from breathing.

D. Superior to the tongue with the tip touching the hard palate:Placing the thermometer on top of the tongue against the hard palate would result in an inaccurate reading because this location does not effectively reflect the body's core temperature.

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The nurse is caring for a client with moderate vision loss. Which intervention would be most appropriate for this client?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

The nurse is preparing to assess a client's oral temperature. The nurse should plan to place the thermometer probe in which area of the client's mouth?

Correct Answer is B

Explanation

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