While administering prescription medications to an older resident in an extended care facility, the practical nurse (PN) notices that the client is having difficulty hearing. What action is most important for the PN to take?
Speak louder so the client can hear the conversation.
Determine if the client has had difficulty hearing in the past
Encourage the client to read the practical nurse's lips.
Provide written instructions about how to take medications.
The Correct Answer is B
A. Speak louder so the client can hear the conversation: Raising the voice may distort sounds and make speech harder to understand, especially for those with sensorineural hearing loss. It can also be perceived as shouting, which may cause discomfort or embarrassment for the client.
B. Determine if the client has had difficulty hearing in the past: Assessing whether the hearing difficulty is new or chronic is the most important initial step. This helps identify if the issue is due to a reversible cause, such as earwax buildup, or if accommodations, like hearing aids or alternative communication methods, are needed.
C. Encourage the client to read the practical nurse’s lips: While lip-reading can assist communication, it should not be the first approach before determining the cause and extent of the hearing problem. Some clients may also have visual impairments that limit this strategy.
D. Provide written instructions about how to take medications: Written instructions are useful for clients with known hearing loss, but they should be supplemented with an assessment first to ensure comprehension and to tailor the communication method appropriately.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Report the liquid stool to the healthcare provider: While unusual or severe diarrhea may require notification, mild watery stools are an expected effect of sodium polystyrene sulfonate as it promotes potassium excretion. Immediate reporting is not necessary unless dehydration or electrolyte imbalance occurs.
B. Withhold the medication until the diarrhea stops: Holding the medication is not indicated for mild, expected watery stools. Interrupting therapy could delay potassium removal and compromise the client’s treatment plan.
C. Recommend that the client increase fiber in the diet: Increasing dietary fiber does not counteract the expected laxative effect of sodium polystyrene sulfonate and may not be appropriate for all clients, particularly those on restricted diets or with other comorbidities.
D. Explain that this is a desired effect of the medication: Sodium polystyrene sulfonate works by exchanging sodium for potassium in the intestines, resulting in softer or watery stools. Educating the client about this expected outcome helps reduce anxiety and supports adherence to therapy.
Correct Answer is ["1.5"]
Explanation
Convert the available dose from grams (g) to milligrams (mg).
Available dose = 1 gram
Conversion factor = 1 g = 1000 mg
Available dose = 1 g x 1000 mg/g = 1000 mg.
Identify the final concentration of the reconstituted solution.
Reconstituted dose = 1000 mg
Reconstituted volume = 3.0 mL
Concentration = 1000 mg/3.0 mL
Calculate the volume in milliliters (mL) to administer.
Prescribed dose = 500 mg
Volume (mL) = (Prescribed dose (mg) / Available concentration (mg)) x Available volume (mL)
= (500 mg / 1000 mg) x 3.0 mL
= 0.5 x 3.0 mL
= 1.5 mL
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.