Nursing Pre-Board Review: Communication and Assessment
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Questions and Answers

When communicating with a partially hearing impaired client, the nurse should:

  • Use hand gestures and write notes to communicate
  • Use a translator or interpreter to communicate
  • Speak loudly and quickly to ensure the client understands
  • Speak slowly in a low-pitched voice, facing the client (correct)
  • When documenting a client's statement 'I am so sick. I know I am going to die', the nurse should:

  • Focus on the client's physical symptoms, ignoring the emotional aspect
  • Paraphrase the statement to convey the client's emotions
  • Omit the statement, as it is not relevant to the client's health status
  • Record the statement verbatim, without adding personal opinions (correct)
  • Before teaching a client to self-administer insulin, the nurse should:

  • Teach the client how to take their pulse, then administer insulin (correct)
  • Have the client watch a video on insulin administration
  • Provide written instructions on insulin self-administration
  • Demonstrate the procedure, then have the client practice
  • To assess a client's ability to learn a new skill, the nurse should:

    <p>Have the client practice the procedure under close supervision</p> Signup and view all the answers

    Before administering Lanoxin, the nurse should teach the client to:

    <p>Take their pulse before taking the medication</p> Signup and view all the answers

    If a client is taking isoniazid (INH), the nurse should monitor for:

    <p>Excessive bruising of the skin</p> Signup and view all the answers

    Study Notes

    Pre-Board Review: Nursing Responsibilities

    • When communicating with a partially hearing impaired client, speak slowly in a low-pitched voice while facing them to ensure effective communication.

    Documenting Client Statements

    • When a client expresses negative sentiments, such as "I am so sick. I know I am going to die," document their statement verbatim, without adding personal opinions.
    • Accurate and complete documentation is essential to reflect the client's present status.

    Health Teaching and Psychomotor Skills

    • Before teaching clients a new procedure, such as insulin self-administration or taking Lanoxin, teach them how to take their pulse first.
    • Assess the client's ability to understand and demonstrate a new skill before teaching it.
    • Evaluate the client's psychomotor abilities to determine their readiness to learn a new skill.
    • Observe the client performing the procedure to assess their capability.

    Medication Management

    • Monitor liver function tests, such as AST and NSPT, for clients taking certain medications.
    • If a client is taking aluminum antacids, ensure they do not take them with anti-TB drugs, as it decreases the effect of the anti-TB drugs.
    • Take antacids with vitamin B6 (pyridoxine) to reduce the risk of peripheral neuritis, a potential side effect.
    • Be aware of excessive bruising of the skin as an adverse effect of INH, which can cause thrombocytopenia.

    Rifampin and TB Treatment

    • Rifampin is used in the primary and secondary treatment of TB.

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    Description

    Test your knowledge on effective communication strategies with patients, including those with hearing impairments, and accurate documentation techniques. Review key concepts for nursing professionals preparing for a pre-board exam.

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