Author Question: The nurse identifies potential safety concerns for a client with a sensory disorder. Which ... (Read 19 times)

Hungry! · **on:** Jun 25, 2018

The nurse identifies potential safety concerns for a client with a sensory disorder. Which intervention should the nurse include in this client's plan of care?

A) Teach how to adapt to the sensory deficit.
B) Identify assistive devices.
C) Provide meaningful interaction and stimulation.
D) Teach the need to take antibiotics as prescribed.

Question 2

A client recovering from surgery to repair fractured bones in the face tells the nurse that dinner tastes horrible. Which response by the nurse is most appropriate?

A) The meal on your tray is the best the cafeteria has to offer today.
B) Let me see if I can order something else for you from the cafeteria.
C) You do not have to eat anything you don't want to.
D) The facial injuries are affecting your sense of taste and flavor.

underwood14 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: B

Sensory deficits may increase a client's risk for injury, especially falls and burns. The nurse should determine what assistive devices are needed to promote client safety. Teaching how to adapt to the sensory deficit supports the client's self-concept. Providing meaningful interaction and stimulation supports the client's level of stress and coping. Teaching the need to take antibiotics as prescribed supports the potential risk for infection.

Answer to Question 2

Answer: D

The client is recovering from surgery to repair fractured facial bones. It is likely that the client's sense of smell and taste have been altered by the injuries and surgery. The nurse should explain that the facial injuries are affecting the client's sense of taste and flavor. The nurse should not order something else but explain that the client's sense of taste and flavor is going to be different for many foods until the injuries heal. The response that the meal is the best the cafeteria has to offer is inappropriate. Telling the client not to eat anything the client does not want is also inappropriate.