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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 A

Explanation

Choice A rationale

Applying the ointment in a thin line into the conjunctival sac ensures that the medication is properly distributed across the surface of the eye, allowing for effective treatment of the bacterial conjunctivitis.

Choice B rationale

Asking the child to look down before applying the ointment is not necessary and may make the application process more difficult. The focus should be on ensuring the ointment is applied correctly.

Choice C rationale

Using a sterile glove and applicator is not required for applying ophthalmic ointment. Clean hands and proper technique are sufficient to ensure safe and effective application.

Choice D rationale

Wiping from the outer to the inner canthus is incorrect. The correct technique is to wipe from the inner to the outer canthus to prevent the spread of infection.

Correct Answer is B

Explanation

Choice A rationale

Avoiding bearing down is important for patients with certain conditions, but not specifically for Ménière’s disease.

Choice B rationale

Patients with Ménière’s disease should avoid sudden movements to prevent exacerbating vertigo and balance issues.

Choice C rationale

Increasing sodium intake can worsen fluid retention and symptoms of Ménière’s disease.

Choice D rationale

Increasing caffeine intake can exacerbate symptoms of Ménière’s disease, including tinnitus and vertigo.

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