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A nurse is caring for a client who has progressive presbycusis. Which of the following actions should the nurse take?

A.

Speak loudly and into the client’s good ear.

B.

Use sign language when communicating with the client.

C.

Sit by the client’s side and speak very slowly.

D.

Speak directly to the client in a normal, clear voice.

Answer and Explanation

The Correct Answer is D

Choice A rationale

 

Speaking loudly and into the client’s good ear is not recommended. Loud speech can be distorted and uncomfortable for individuals with presbycusis.

 

Choice B rationale

 

Using sign language is not necessary unless the client is proficient in it. Most clients with presbycusis benefit more from clear verbal communication.

 

Choice C rationale

 

Sitting by the client’s side and speaking very slowly is not as effective as speaking directly to the client in a normal, clear voice.

 

Choice D rationale

 

Speaking directly to the client in a normal, clear voice is recommended. This ensures that the client can read lips and understand the conversation better.


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View Related questions

Correct Answer is B

Explanation

Choice A rationale

Timolol is a beta-blocker used to reduce intraocular pressure in patients with open-angle glaucoma. It is not intended for short-term use or gradual tapering off. The medication must be used consistently to maintain its therapeutic effect.

Choice B rationale

Timolol should be applied on a regular schedule for the rest of the client’s life to effectively manage intraocular pressure and prevent further damage to the optic nerve.

Choice C rationale

Timolol does not cure glaucoma or normalize intraocular pressure permanently. Continuous use is necessary to control the condition.

Choice D rationale

Timolol is not used as a pain reliever. It is specifically prescribed to manage intraocular pressure in glaucoma patients.

Correct Answer is C

Explanation

Choice A rationale

Drinking room temperature beverages can help minimize irritation in the mouth and throat, which is beneficial for clients with stomatitis. Cold or hot beverages can exacerbate the condition by causing discomfort and pain.

Choice B rationale

Taking a prescribed analgesic can help manage the pain associated with stomatitis. Pain management is crucial for maintaining the client’s comfort and ability to eat and drink.

Choice C rationale

Stomatitis is not contagious and cannot be spread to family members. This statement indicates a need for further teaching as it reflects a misunderstanding of the condition.

Choice D rationale

Chemotherapy can affect the immune system, making the client more susceptible to infections and conditions like stomatitis. This statement is accurate and does not indicate a need for further teaching.

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