A patient with otosclerosis has conductive hearing loss and has repeatedly declined surgery. What should the nurse do to facilitate communication with the patient?
A) Sit or stand in front of the patient when speaking.
B) Use exaggerated lip and mouth movements when talking.
C) Stand in front of a light or window when speaking.
D) Say the patient's name loudly before starting to talk.
A
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A toddler has had recurrent respiratory infections. The mother of the child expressed concern that her infant seemed to be at increased risk for complications from infection in comparison with her older children
The best response from the nurse would be: 1. "Air passages are more likely to become blocked with mucus because younger children make more mucus than do older children." 2. "Toddlers do not breathe as deeply as do older children." 3. "You are incorrect in her assessment." 4. "Airways are smaller and more easily occluded in the younger child."
A client with disseminated intravascular coagulation (DIC) has a nursing diagnosis of Impaired Gas Exchange. Which action is inappropriate when providing care based on this nursing diagnosis?
A) Place client in low-Fowler position to improve gas exchange. B) Monitor the client's oxygen saturation continuously. C) Maintain bed rest. D) Encourage deep breathing and coughing.
A client has been diagnosed with HIV and has been placed on antiretroviral therapy. What does the nurse inform the client will be required for determining the progression of the disease as well as guiding drug therapy?
A) The client will be required to stop the medication for 2 weeks and then have laboratory studies drawn to determine if the antiretroviral therapy has cured the disease. B) Viral load and T4-cell counts will be performed every 2 to 3 months. C) More antiretroviral medication will be added every 2 to 3 months. D) The Western blot test will be monitored every 6 months to see if the virus is still present.
A child with a growth hormone deficiency will be receiving daily subcutaneous injections of a biosynthetic growth hormone. The parents are being trained to administer the injections. It is important for the nurse to instruct the parents to:
1. Avoid cleaning the area with alcohol before giving the injection. 2. Use only the leg for injections. 3. Delay giving the injection by one day if the child becomes upset. 4. Rotate the injections sites daily.