6 Questions
When communicating with a partially hearing impaired client, the nurse should:
Speak slowly in a low-pitched voice, facing the client
When documenting a client's statement 'I am so sick. I know I am going to die', the nurse should:
Record the statement verbatim, without adding personal opinions
Before teaching a client to self-administer insulin, the nurse should:
Teach the client how to take their pulse, then administer insulin
To assess a client's ability to learn a new skill, the nurse should:
Have the client practice the procedure under close supervision
Before administering Lanoxin, the nurse should teach the client to:
Take their pulse before taking the medication
If a client is taking isoniazid (INH), the nurse should monitor for:
Excessive bruising of the skin
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.
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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