Practice Question
A nurse is assisting with the care of a client who is postoperative.
Answer Choices:
Correct Answer:
Client's hearing deficit.
Rationale:
Client's hearing deficit
🟦 Clients with hearing impairment are at high risk for miscommunication, especially if they do not use assistive devices such as hearing aids.
🟦 The absence of a hearing aid limits the client’s ability to fully receive verbal instructions or participate in conversations.
🟦 This can lead to misunderstandings of care instructions, safety concerns, or missed cues from caregivers.
🟦 In postoperative care, hearing is essential for understanding pain management instructions, activity recommendations, and discharge teaching.
Volume of the client's television
🟦 A loud TV creates excessive background noise that competes with the nurse's voice, making it difficult for the client to distinguish spoken words, especially when already hard of hearing.
🟦 This auditory interference reduces focus and comprehension, compromising therapeutic communication.
🟦 In a hospital setting, a quiet environment is critical to ensuring that instructions and interactions are clearly received and understood.
Numerous visitors in the client's room
🟦 Having several visitors at the bedside creates environmental distractions, limiting the client’s ability to engage attentively with the nurse.
🟦 Visitors can interrupt or compete for the client’s attention, making it difficult for the nurse to assess the client effectively, deliver education, or gather accurate data.
🟦 This impairs communication clarity and client-nurse rapport.
Adverse effects of opioid analgesic
🟦 Opioid medications, such as those administered postoperatively, often cause sedation, drowsiness, or cognitive slowing.
🟦 The client reported feeling “very sleepy,” indicating central nervous system depression, which can impair attention span, memory, and responsiveness.
🟦 This decreased alertness significantly limits the client's capacity to process and retain information.
Using earphones while listening to music
🟦 Earphones block external sounds, isolating the client from environmental stimuli, including nursing communication.
🟦 When a client is actively listening to music through headphones, their attention is diverted, and auditory input from the nurse is either muffled or ignored.
🟦 This creates a major communication barrier, especially in settings requiring clear instructions, such as medication administration or discharge teaching.
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This question is from Custom: VNIOO FON EXAM 2 which contains 45 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN Custom Exam(s)
- Answer Choices: 6