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A nurse is caring for a client who has sensorineural hearing loss and is helping them choose items for their meal tray. Which of the following techniques should the nurse use to help the client communicate their choices?

A.

State the options loudly in a high-pitched voice.

B.

Ask the client's partner to choose their meal.

C.

Expect extended time for verbal responses.

D.

Ask the client to point to items on a picture menu.

Answer and Explanation

The Correct Answer is D

Rationale: 

 

A. Speaking loudly in a high-pitched voice is not effective for individuals with sensorineural hearing loss, as they may struggle with high-frequency sounds. 

 

B. Asking the client's partner to choose their meal removes the client's autonomy and does not facilitate direct communication. 

 

C. While expecting extended time for verbal responses is considerate, it does not provide a practical solution for meal selection. 

 

D. Asking the client to point to items on a picture menu is an effective way to facilitate communication, allowing the client to express their preferences without relying on verbal communication alone.


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Correct Answer is B

Explanation

Rationale:

A. Dietary salt restriction is challenging but is a specific intervention that can be managed with education and support.

B. The absence of symptoms can significantly hinder compliance because clients may not perceive the need to adhere to a treatment plan if they do not feel unwell. This perception can lead to underestimating the importance of managing their blood pressure.

C. The addition of a new medication may pose some challenges, but clients often adapt to new medications with proper guidance.

D. A detailed plan of care can enhance understanding and compliance, making it less likely to be a barrier compared to the lack of symptomatic cues indicating a need for treatment.

Correct Answer is B

Explanation

Rationale:

A. Similar to the previous question, a quick inhalation is not recommended; the child should take a slow, deep breath for effective medication delivery.

B. Taking the medication 5 minutes before playing sports is ideal as it allows the medication to work quickly, ensuring better performance and control of asthma symptoms during activity.

C. Cleaning the mouthpiece with warm water every 2 weeks is insufficient; it should be cleaned more frequently, typically after each use, to maintain hygiene.

D. Waiting 10 seconds between inhalations is appropriate, but the focus on the timing before sports is critical for proper management of asthma symptoms.

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