A nurse is caring for a client who has hearing loss. Which of the following actions should the nurse take to improve communication?
Provide interpretation services over the telephone.
Use exaggerated lip movements when speaking.
Provide written material at an 8th-grade reading level.
Reduce environmental stimuli.
The Correct Answer is D
Rationale:
A. Providing interpretation services over the telephone is not effective for clients with hearing loss who may benefit more from in-person or visual communication.
B. Exaggerated lip movements can be distracting and may not aid understanding; clear and natural speech is more effective.
C. While providing written materials is helpful, ensuring the client can understand the material is key; using an appropriate reading level is essential but secondary to direct communication strategies.
D. Reducing environmental stimuli helps minimize distractions, making it easier for the client to focus on the nurse's speech or lip movements and improving overall communication.
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Correct Answer is A
Explanation
Rationale:
A. Having the client wear a surgical mask while being transported outside the room is essential to prevent the transmission of TB to others. This minimizes exposure to airborne droplets.
B. Wearing a surgical mask while providing care for the client is not sufficient for preventing TB transmission; an N95 respirator is required to protect healthcare workers from inhaling airborne particles.
C. While restricting visitors may help limit exposure, it is not the most effective preventive measure compared to ensuring that the client wears a mask when out of their room.
D. Initiating contact precautions is not necessary for TB, as it primarily requires airborne precautions. Airborne isolation precautions should be followed, including the use of N95 respirators for healthcare workers and appropriate ventilation.
Correct Answer is ["B","C","D"]
Explanation
Rationale:
A. Assessing a client requires clinical judgment and should not be delegated to an AP.
B. Accompanying a client to occupational therapy is a task that can be safely assigned to an AP as it does not require clinical judgment.
C. Checking the position of a client in soft wrist restraints is a routine task that can be assigned to an AP as long as the AP has been trained in restraint protocols.
D. Sitting with a client who has alcohol use disorder (5 days after their last drink) is a task that an AP can perform, especially if the client does not require close monitoring for medical complications such as delirium tremens.
E. Setting limits with a client requires therapeutic communication skills and clinical judgment, so this should not be delegated to an AP.