Nokea
The nurse is caring for a client with newly prescribed hearing aids. Which of the following actions by the client indicate proper use and care of hearing aids? Select all that apply.
- A. Keeps hearing aids clean by rinsing them with water
- B. Lowers television volume when talking with nurse
- C. Places hearing aids on food tray when not in use
- D. Turns volume completely down prior to insertion of aid into the ear
- E. Verifies that battery compartment is closed before insertion
Correct Answer: B,D,E
Rationale: Lowering TV volume indicates effective hearing aid use, turning volume down prevents feedback, and verifying the battery compartment ensures functionality. Rinsing with water damages hearing aids, and placing them on a food tray risks contamination or loss.
You may also like to solve these questions
The nurse is caring for a client from the Middle East. The nurse is aware that the client will most likely:
- A. Want to take time for prayer during the day.
- B. Ask for specially prepared foods.
- C. Refuse blood products.
- D. Want to be treated by a medicine man.
Correct Answer: A
Rationale: Many Middle Eastern clients prioritize daily prayer, a cultural practice that nurses should accommodate.
A client comes to the emergency department reporting alkaline drain cleaner splashed into the eye. The conjunctiva of the affected eye is erythematous, and the client reports a burning sensation. What action is appropriate at this time?
- A. Administer PO analgesic medication
- B. Cover the affected eye with an eye patch
- C. Initiate continuous eye irrigation
- D. Perform a Snellen vision test
Correct Answer: C
Rationale: Ocular chemical burns require emergency care to prevent permanent vision loss. Alkali burns (eg, ammonia, cement, lye- containing drain cleanser) are particularly dangerous as they will quickly penetrate deep into the eye, causing severe, irreversible damage. For all types of ocular chemical burns, copious eye irrigation with sterile saline or water should begin immediately to flush the chemical irritant out of the eye
The nurse is talking with the family of an 18 months-old newly diagnosed with retinoblastoma. A priority in communicating with the parents is
- A. Discuss the need for genetic counseling
- B. Inform them that combined therapy is seldom effective
- C. Prepare for the child's permanent disfigurement
- D. Suggest that total blindness may follow surgery
Correct Answer: A
Rationale: Discuss the need for genetic counseling. The hereditary aspects of this disease are well documented. While the parents focus on the needs of this child, they should be aware that the risk is high for future offspring.
A couple from the Philippines living in the United States is expecting their first child. In providing culturally competent care, the nurse must first:
- A. review their own cultural beliefs and biases.
- B. respectfully request that the couple utilize only medically approved health care providers.
- C. realize that the clients have to learn their new country's accepted medical practices.
- D. study family dynamics to understand the male and female gender roles in the clients' culture.
Correct Answer: A
Rationale: Self-awareness of the nurse's own cultural biases is the first step in providing culturally competent care, ensuring nonjudgmental interactions. The other actions are secondary or prescriptive. Psychosocial Integrity
During suctioning of the client's tracheostomy tube, the catheter appears to attach to the tracheal wall and creates a pulling sensation. What is the best action for the nurse to take?
- A. Release the suction by opening the vent
- B. Continue suctioning to remove the obstruction
- C. Increase the pressure
- D. Suction deeper
Correct Answer: A
Rationale: Releasing suction by opening the vent prevents trauma to the tracheal mucosa when the catheter adheres to the wall. Continuing, increasing pressure, or deeper suction risks injury.