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An older client is admitted to the medical-surgical unit after falling and fracturing the left hip. The nurse is reviewing written preoperative instructions with the client and spouse. Which action should the nurse implement while providing these instructions?

A.

Turn the overhead lights on while giving instructions.

B.

Stand behind the client to avoid intimidation.

C.

Provide handouts written at a 12th grade reading level.

D.

Use background music to promote relaxation.

Answer and Explanation

The Correct Answer is A

Rationale:

 

A. Turning on overhead lights ensures that the client can see the instructions clearly, which is particularly important for older adults who may have visual impairments. Adequate lighting helps improve comprehension and reduces the risk of misunderstandings.

 

B. Standing behind the client may cause confusion or discomfort. It is better to face the client while communicating.

 

C. Handouts should be written at a lower reading level, typically around the 5th to 6th grade, to ensure that most clients can understand them, especially older adults.

 

D. Background music may be distracting rather than helpful during the provision of important instructions.


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View Related questions

Correct Answer is D

Explanation

Rationale:

A. Renal creatinine clearance is important in assessing kidney function but is not directly related to divalproex sodium therapy.

B. While CBC monitoring is essential, especially for detecting thrombocytopenia, liver function tests are more critical in this context.

C. A chemistry panel is valuable but does not specifically monitor for the primary risks associated with divalproex sodium.

D. Divalproex sodium (valproate) can cause hepatotoxicity, so monitoring liver function tests (LFTs) is crucial. Regular LFTs help detect early signs of liver damage, which can be a serious adverse effect of this medication.

Correct Answer is B

Explanation

Rationale:

A. A cheerful and calm appearance may not always align with the client's emotional needs and could feel insincere.

B. As the client nears the end of life, their hopes may shift, and it is crucial for the spouse to listen and help fulfill these evolving goals to provide comfort and maintain dignity.

C. Encouraging the client to make decisions as they are able can empower them, rather than avoiding decision-making.

D. Offering favorite foods is thoughtful but does not directly address the emotional and psychological aspects of hopelessness.

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