A nurse is assigned to care for an elderly, confused patient. The patient's son is sitting at the bedside and is watching a loud television program. The nurse needs to complete the respiratory and cardiac assessment and vital signs.
What would be the best approach to this situation?
a. Do not say anything. Just do the best you can with the TV on loud.
b. Say: That TV is too loud for me to do my work. You have to shut it off.
c. Say: I'll come back after you've finished watching this TV show. Can you use the call bell to let me know when it's over?
d. Say: I need a quiet environment while I listen to your mother's chest. I will need to turn the TV down until I'm finished.
Question 2
The nurse is to take a meal tray to a patient the nurse knows nothing about. Before leaving the tray with the patient, which is the most critical safety factor the nurse should determine?
a. The room is neat and orderly without offending odors.
b. The tray has condiments placed within easy reach.
c. The patient is seated securely and in a comfortable position.
d. The patient's ability to swallow is intact.
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