Your elderly client is hard of hearing. What is the best way to ...

[Medesa]

Your elderly client is hard of hearing. What is the best way to communicate with him?
 
  1. Use a family member to translate.
  2. Write notes to the client.
  3. Speak loudly and in a high-pitched voice.
  4. Stand in front of the client and speak in a normal tone of voice at a lower pitch.

Question 2

Which of the following instructions is the most important for the nurse to give a client who is about to be discharged and has a surgical wound?
 
  1. Adjust your diet so it contains more fruits and vegetables.
   2. Apply lubricating lotion to the edges of the wound.
   3. Notify your physician if you notice edema, heat, or tenderness at the wound site.
   4. Thoroughly irrigate the wound with hydrogen peroxide.

[recede]

Answer to Question 1

ANS: 4

Answer to Question 2

3. Notify your physician if you notice edema, heat, or tenderness at the wound site.

Rationale:
A client being discharged with an open surgical wound has to be instructed on the detection of infection since the skin is the first line of defense. Signs such as edema, heat, and tenderness would indicate a local infection. Increasing fruits and vegetables would increase vitamin C, which helps with wound healing, but more protein would be the best choice. Applying lubricating lotion to the edges of a wound would impede the healing process. Irrigating with hydrogen peroxide would break down good granulating tissue, so this also would not increase healing.

[Medesa]

TYSM

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Gracias!