The nurse is assessing the patient's ability to hear. Which is the correct procedure for the doing this?
a. The nurse whispers to the patient while standing on each side of the patient.
b. The nurse speaks in a normal voice while standing on each side of the patient.
c. The nurse speaks in a normal voice while standing directly in front of the patient.
d. The nurse speaks in a normal voice while standing slightly behind the patient.
ANS: D
Hearing ability can be determined by observing the patient's conversation and responses and by talking with the patient in a normal conversational tone while standing slightly behind the patient. If the patient does not respond appropriately, a hearing impairment may exist. Standing in front of the patient allows the patient to read your lips and will not detect a hearing loss. A whispered voice will also give a false reading.
You might also like to view...
The nurse counseling a client who has used oral contraceptives (OCs) since age 17 would make the client aware that the use of OCs has increased the incidence of
a. adenomas of the liver. b. gallbladder disease. c. gastric ulcerations. d. pancreatitis.
Slowly removing some amniotic fluid is a treatment for hydramnios. What consequence can occur with the withdrawal of fluid?
1. Preterm labor 2. Prolapsed cord 3. Preeclampsia 4. Placenta previa
A patient asks the nurse why nitroglycerin is given sublingually. The nurse will explain that nitroglycerin is administered by this route for which reason?
a. To avoid hypotension b. To increase absorption c. To minimize gastrointestinal upset d. To prevent hepatotoxicity
The nurse is identifying outcome criteria for a client with a nursing diagnosis of Disturbed Sensory Perception, Auditory. What would indicate that interventions to address this diagnosis have been successful?
1. Client places hearing aid on beside table when not in use. 2. Client does not respond appropriately to questions. 3. Client demonstrates use and care of hearing aid. 4. Client demonstrates difficulty with problem solving.