Which strategy should a nurse include when communicating with a client who is blind?

Speak loudly since the client is unable to observe nonverbal cues.

Touch the client prior to speaking to gain the client’s attention.

Orient the client to the arrangement of the room to promote independence.

Keep the bed in the highest position to prevent the client from getting out of bed alone.

Answer and Explanation

The Correct Answer is C

Orient the client to the arrangement of the room to promote independence. This strategy helps the client who is blind to navigate the environment safely and confidently. It also shows respect for the client’s autonomy and dignity.

Choice A is wrong because speaking loudly is not necessary for a client who is blind, unless they also have hearing impairment. Speaking loudly may imply that the client is less intelligent or capable, which is not true.

Choice B is wrong because touching the client prior to speaking may startle or frighten them. It is better to identify oneself verbally and ask for permission before touching the client.

Choice D is wrong because keeping the bed in the highest position may increase the risk of injury if the client tries to get out of bed alone. It also restricts the client’s mobility and independence, which may affect their self-esteem and quality of life.

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Correct Answer is B

Explanation

0.8.

To find the answer, you need to use the formula: Dose ordered / Dose available = Volume to administer

In this case, the dose ordered is 250,000 units and the dose available is 300,000 units/mL. So, you need to divide 250,000 by 300,000 and get 0.8333.

Then, you need to round it to one decimal place and get 0.8 mL. Choice A is wrong because it is too low.

If you administer 0.4 mL, you will give only 120,000 units of penicillin G benzathine, which is half of the prescribed dose.

Choice C is wrong because it is too high.

If you administer 1.2 mL, you will give 360,000 units of penicillin G benzathine, which is 44% more than the prescribed dose.

Choice D is wrong because it is also too high.

If you administer 1.6 mL, you will give 480,000 units of penicillin G benzathine, which is almost double the prescribed dose.

The normal range for penicillin G benzathine dosage depends on the type and severity of infection, but it is usually between 50,000 and 2.4 million units per injection.

A. Palpation, relationship, inspection, and evaluation. B. Inspection, palpation, percussion, and auscultation. C. Vital signs, health history, general survey, and height and weight. D. Auscultation, general survey, vital signs, and color.

Correct Answer is B

Explanation

Inspection, palpation, percussion, and auscultation are the four techniques used to perform a physical assessment.

Inspection involves observing the patient’s appearance, posture, movement, and behavior. Palpation involves feeling the patient’s skin, organs and pulses with the hands.

Percussion involves tapping the patient’s body with the fingers or a small hammer to elicit sounds or vibrations.

Auscultation involves listening to the patient’s heart, lungs, and bowel sounds with a stethoscope.

Choice A is wrong because relationship and evaluation are not techniques of physical assessment.

Relationship refers to the rapport and trust established between the nurse and the patient.

Evaluation refers to the process of comparing the expected outcomes with the actual outcomes of the nursing interventions.

Choice C is wrong because vital signs, health history, general survey, and height and weight are not techniques of physical assessment.

They are components of a health assessment, which is a broader term that includes physical assessment as well as other aspects of the patient’s health status.

Choice D is wrong because color is not a technique of physical assessment.

Color is an aspect of inspection, which is one of the techniques of physical assessment.

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Which strategy should a nurse include when communicating with a client who is blind?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is to receive 250,000 units of benzathine penicillin. G. The medication is available in a vial containing 300,000 units per milliliter. How many milliliters should a nurse administer?

Correct Answer is B

Explanation

The nurse is preparing to perform a physical assessment. What are the four techniques used?

Correct Answer is B

Explanation

A nurse finds an adult client lying unconscious & unresponsive on the bathroom floor. Which action should the nurse take first?

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Which statement, if made by an older client diagnosed with urinary incontinence, indicates a need for further teaching?

For a client who is crying and seems agitated after major abdominal surgery, which action should a nurse take to establish a nursing diagnosis of pain related to an abdominal incision?

The nurse is caring for a client at risk for a respiratory infection. Which of the following natural respiratory defense mechanisms help defend against infection? (Select all that apply).

Which statement by the student nurse indicates the need for further education regarding pain management in older adults? (Select all that apply).

A nurse is getting a client out of bed to ambulate for the first time. The client is pale, diaphoretic, has a pulse of 100/minute, and says, “I feel weak. Let me sit on the side of the bed for a minute.” What finding should the nurse document?

Which action should a nurse plan for a client who has episodes of acute anxiety?