Which technique would be most beneficial for ambulation of a client who is visually impaired?

Speak before touching the client.

Provide the client with a see-eye guide dog.

Allow client to follow your lead.

Provide a detailed description of the room and walkway.

Answer and Explanation

The Correct Answer is C

Allow the client to follow your lead. This technique would be most beneficial for the ambulation of a visually impaired client. The nurse should allow the client to follow their lead because they are more familiar with their surroundings and can navigate better.

Option A, speaking before touching the client, is appropriate but not as effective as allowing the client to follow the nurse's lead.

Option B, providing a see-eye guide dog, may not always be feasible.

Option D, providing a detailed description of the room and walkway, may be helpful but not as effective as allowing the client to follow the nurse's lead.

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Free Nursing Study Resources

Correct Answer is C

Explanation

Hypovolemia. Following a serious thermal burn, the nurse takes action to prevent hypovolemia, which can result from fluid loss due to the burn. Hypovolemia can lead to hypoperfusion of vital organs, including the kidneys, and can cause acute renal failure. Preventing hypovolemia is critical to preventing other complications such as tissue hypoxia, cardiac failure, and infection.

A. Tissue hypoxia and cardiac failure are consequences of hypovolemia due to decreased blood flow to organs.

D. Infection is not the immediate complication to prevent but is a potential complication following burn injury.

A. Swelling. B. Change in the level of consciousness (LOC). C. Signs of increased intracranial pressure (ICP). D. Halo sign.

Correct Answer is D

Explanation

Halo sign. The presence of clear fluid with a yellowish ring around it (Halo sign) on the client's bed linens, tissues, or skin may indicate the presence of leaking of cerebral spinal fluid (CSF).

Swelling, choice A, change in the level of consciousness (LOC), choice B, and signs of increased intracranial pressure (ICP), choice C, may be indicative of a head injury, but do not specifically indicate the presence of leaking of CSF.

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Which technique would be most beneficial for ambulation of a client who is visually impaired?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Following a serious thermal burn, which complication will the nurse take action to prevent first?

Correct Answer is C

Explanation

The nurse is caring for a client with a head injury after a fall from a hayloft. Which of the following indicates the presence of leaking of cerebral spinal fluid (CSF)?

Correct Answer is D

Explanation

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