A nurse is assessing a client on the first day after major ...

[beccaep]

A nurse is assessing a client on the first day after major abdominal surgery. Which of the following internal stimuli would be increased and affect client responses?
 
  A) Lights and noise
  B) Visitors and caregivers
  C) Intravenous lines, pain
  D) Ambulating, coughing

Question 2

A home care client has both visual and hearing deficits. Although all of the following are important, what would be a high priority concern when planning and implementing care?
 
  A) Nutrition
  B) Comfort
  C) Safety
  D) Communication

[anyusername12131]

Answer to Question 1

Ans: C
When assessing a client at risk for increased sensory stimulation, it is important to consider both internal and external stimuli that may cause sensory overload. Invasive treatments, such as intravenous lines, and pain are internal stimuli.

Answer to Question 2

Ans: C
Safety is always a special concern for clients with sensory alterations. The nurse must ensure that the client's environment is as free of danger as possible, and assist the client in developing new self-care behaviors to compensate for sensory impairments.

[beccaep]

TYSM

[patma1981]

Excellent