The nurse is setting up the physical environment for an interview with a client and plans to obtain subjective data regarding the client's health.
Which interventions are appropriate? Select three options that apply.
Ensure comfortable seating at eye level for the client and nurse.
Provide seating for the client so that the client faces a strong light.
Ensure that the distance between the client and nurse is at least 7 ft (2.1 meters).
Place a chair for the client across from the nurse's desk.
Set the room temperature at a comfortable level.
Remove distracting objects from the interviewing area.
Correct Answer : A,E,F
A. Ensure comfortable seating at eye level for the client and nurse: Establishes a non-intimidating environment, helping the client feel more at ease.
B. Provide seating for the client so that the client faces a strong light: Incorrect; this may cause discomfort and make the client feel scrutinized.
C. Ensure that the distance between the client and nurse is at least 7 ft: Too great a distance for effective communication; ideal distance is 3-4 feet.
D. Place a chair for the client across from the nurse's desk: Creates a formal, potentially intimidating setting, discouraging openness.
E. Set the room temperature at a comfortable level: Ensures physical comfort, aiding in client relaxation and openness.
F. Remove distracting objects from the interviewing area: Minimizes potential distractions, keeping the client focused and the environment conducive to communication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Sharp pain in the lower back is a classic symptom of an acute hemolytic reaction, which can occur due to incompatible blood transfusions.
B. Coughing more could indicate a transfusion-related acute lung injury (TRALI) but is not a typical sign of an acute hemolytic reaction.
C. Ringing in the ears can occur with other conditions but is not a common sign of an acute hemolytic reaction.
D. Feeling needles poking in the feet is vague and not specifically associated with acute hemolytic reactions, which are characterized by more severe systemic symptoms.
Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A,B"},"C":{"answers":"A,B"},"D":{"answers":"B"}}
Explanation
- Hemolytic Reaction:
- Administer 0.9% sodium chloride: To maintain fluid balance and prevent kidney damage.
- Send the blood bag back to the blood bank for analysis: To identify the cause of the reaction and prevent future similar incidents.
- Stop blood infusion: To prevent further hemolysis.
- Anaphylactic Reaction:
- Stop blood infusion: To prevent further exposure to the allergen.
- Administer epinephrine: To treat the severe allergic reaction and prevent anaphylactic shock.
- Send the blood bag back to the blood bank for analysis: To identify the allergen and prevent future similar incidents.
- Administer 0.9% sodium chloride: To maintain fluid balance and prevent kidney damage.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
