Questions & Detailed Solutions.
A nurse is caring for a client who recently had a cerebrovascular accident and has
aphasia. Which of the following interventions should the nurse use to promote
communication with this client?
A. Increase the volume of your voice.
B. Make sure only one person speaks at a time.
C. Avoid discouraging the client by saying you do not understand him.
D. Allow plenty of time for the client to respond.
E. Use brief sentences with simple words.
B, D, E
A nurse is caring for a client who had an amphetamine overdose and has sensory
overload. Which of the following interventions should the nurse implement?
A. Immediately complete a thorough assessment.
, B. Put the client in a room with a client who has hearing loss.
C. Provide a private room and limit stimulation.
D. Speak at a higher volume to the client, and encourage ambulation.
C
A nurse is caring for a client who reports difficulty hearing. Which of the
following findings indicate a sensorineural hearing loss in the left ear?
A. Weber test showing lateralization in right ear.
B. Light reflex at 10 o'clock in left ear.
C. Indications of obstruction in left ear canal.
D. Rinne test showing less time for air and bone conduction.
E. Rinne test showing air conduction less than bone conduction in left ear.
A. D
A nurse is caring for a client who has several risk factors for hearing loss. Which
medications should alert the nurse to a further risk for ototoxicity?
A. Furosemide
B. Ibuprofen
C. Cimetidine
D. Simvastatin