While teaching a client how to perform a skill, the nurse determines that the client is experiencing sensory overload and is unable to learn effectively.
Which action should the nurse implement?

Demonstrate the skill speaking slowly and using simple terms.

Reassure the client that the skill is not difficult to learn.

Reduce the stimuli in the area before continuing the teaching.

Provide the client with step-by-step written instruction.

Answer and Explanation

The Correct Answer is C

Sensory overload happens when an individual is getting more input from their senses than their brain can sort through and process 1.

Therefore, reducing the stimuli in the area can help the client’s brain to better process the information being taught.

Choice A is not the answer because demonstrating the skill speaking slowly and using simple terms does not address the issue of sensory overload 1.

Choice B is not the answer because reassuring the client that the skill is not difficult to learn does not address the issue of sensory overload 1.

Choice D is not the answer because providing step-by-step written instruction does not address the issue of sensory overload 1.

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Correct Answer is B

Explanation

The client has difficulty sleeping due to obstructive sleep apnea (OSA), and using a positive airway pressure device can help keep their airway open and prevent dangerous pauses in breathing while they sleep 1.

Choice A is not the answer because elevating the head of the bed to a 45-degree angle may provide some relief for OSA, but it is not as effective as using a positive airway pressure device 1.

Choice C is not the answer because lifting and locking the side rails in place is a safety measure but does not directly address the client’s OSA 1.

Choice D is not the answer because removing dentures or other oral appliances may provide some relief for OSA, but it is not as effective as using a positive airway pressure device 1.

A. Acute pain. B. Neuropathic pain. C. Visceral pain. D. Nociceptive pain.

Correct Answer is B

Explanation

The symptoms of pain, numbness, and tingling sensations in the lower legs are consistent with neuropathic pain.

Neuropathic pain is a complex type of pain initiated or caused by a primary lesion or dysfunction in the nervous system1.

Therefore, the nurse should document the finding as neuropathic pain.

Choice A is not correct because acute pain is a general term that does not specify the type of pain experienced by the patient.

Choice C is not correct because visceral pain refers to pain that originates from internal organs.

Choice D is not correct because nociceptive pain refers to pain caused by tissue damage or injury.

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While teaching a client how to perform a skill, the nurse determines that the client is experiencing sensory overload and is unable to learn effectively. Which action should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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While teaching a client how to perform a skill, the nurse determines that the client is experiencing sensory overload and is unable to learn effectively.
Which action should the nurse implement?