The nurse is caring for a client who is hearing-impaired and legally blind in his right eye. The client has just returned from cataract surgery on his left eye. The nurse recognizes that

a. the client's arm should be held when walking.
b. verbal speech is useless in this situation.
c. signals should be developed to indicate changes in pace or direction while walking.
d. the client should be discouraged from reading lips.


ANS: C
For vision-impaired clients, the nurse should develop and use signals to indicate changes in pace or direction while walking. The nurse should not lead or hold the client's arm when walking, but instead allow the client to take the nurse's arm. The nurse should speak distinctly without exaggerating words. Partially deaf clients respond best to well-articulated words spoken in a moderate, even tone. The client with hearing loss should be encouraged to verbalize speech, even if they only use a few words or the words are difficult to understand at first. The nurse should always face the client when communicating so the client can see the nurse's lips move.

Nursing

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