Nokea
A nurse is caring for an older adult client who has a hearing aid. Which of the following actions should the nurse take when the client reports hearing a whistling sound from the hearing aid?
- A. Soak the hearing aid in warm water.
- B. Decrease the volume on the hearing aid.
- C. Clean the hearing aid with isopropyl alcohol.
- D. Turn the hearing aid off for 5 min.
Correct Answer: B
Rationale: Whistling (feedback) often indicates high volume; decreasing it resolves the issue.
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A nurse is reinforcing teaching with a client about the use of a quad cane. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should move my stronger leg forward before moving my weaker leg.
- B. I will hold the cane on my stronger side.
- C. I will move the cane forward 18 inches.
- D. I should wear shoes with smooth soles to help slide my weak leg forward.
Correct Answer: B
Rationale: Holding the cane on the stronger side provides optimal support.
A nurse is preparing to perform a fecal occult blood test of stool specimens for a client. Which of the following actions should the nurse plan to take?
- A. Ensure that the stool specimen does not contain urine.
- B. Repeat the test three times using the same stool specimen.
- C. Have the client defecate into a bedpan that contains a small amount of water.
- D. Wear sterile gloves when handling the stool specimen
Correct Answer: A
Rationale: Urine can contaminate the specimen and affect test accuracy.
A nurse is caring for a client who is receiving detoxification treatment for an opioid use disorder. As the nurse is preparing to administer a methadone IM injection, the client tells the nurse, 'I am afraid of needles.' Which of the following actions should the nurse take?
- A. Request a change in the medication route to PO.
- B. Remind the client that they must receive the medication as prescribed.
- C. Tell the client not to worry because the pain will be temporary.
- D. Ask one of the client's loved ones to encourage them to receive the IM
Correct Answer: A
Rationale: Requesting a PO route addresses the client's fear while ensuring treatment continuity.
A nurse is assisting with the care of a client who has cancer that has metastasized. The client has decided to discontinue chemotherapy treatment. Which of the following responses should the nurse make?
- A. Don't worry. Everything will work out for you.
- B. Your quality of life will be compromised if you make this decision.
- C. We should talk about your decision later.
- D. How will you discuss this decision with your loved ones?
Correct Answer: D
Rationale: This response supports the client's autonomy and encourages communication.
A nurse is collecting data from a client who reports an inability to cope because of their recent job loss. Which of the following actions should the nurse take?
- A. Tell the client to think about something else.
- B. Ask the client to describe their support system.
- C. Ask the client why they're unable to cope.
- D. Tell the client that everything will be okay.
Correct Answer: B
Rationale: Assessing the support system identifies resources to help the client cope.