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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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Correct Answer is A

Explanation

Choice A rationale

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Choice B rationale

Multiple pregnancies are not a significant risk factor for cervical cancer.

Choice C rationale

Late onset of menarche is not a significant risk factor for cervical cancer.

Choice D rationale

Use of a diaphragm is not a significant risk factor for cervical cancer.

Correct Answer is B

Explanation

Choice A rationale

Electrical cords placed along the walls are generally not a safety risk as long as they are secured and not in the walking path. This placement can actually reduce tripping hazards.

Choice B rationale

Scatter rugs are a significant safety risk for older adults with decreased vision. They can easily cause tripping and falls, which can lead to serious injuries.

Choice C rationale

Handrails in the bathroom are a safety feature that helps prevent falls and provides support for individuals with decreased vision or mobility issues.

Choice D rationale

Using a microwave for cooking is generally safe for older adults with decreased vision as it reduces the risk of burns and accidents associated with stovetop cooking.

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