Correct Answer: D

Rationale: Reason: This is incorrect because standing directly in front of the client is not the priority action by the nurse when admitting a client who has a partial hearing loss. Standing directly in front of the client can enhance communication, but it is not as important as assessing the client's hearing status and needs. Reason: This is incorrect because rephrasing statements the client does not hear is not the priority action by the nurse when admitting a client who has a partial hearing loss. Rephrasing statements can improve understanding, but it is not as essential as evaluating the client's hearing level and preferences. Reason: This is incorrect because speaking using his usual tone of voice is not the priority action by the nurse when admitting a client who has a partial hearing loss. Speaking using his usual tone of voice may or may not be appropriate, depending on the client's hearing ability and comfort. The nurse should adjust his tone of voice based on the client's feedback and response. Reason: This is the correct choice because determining if the client uses hearing aids is the priority action by the nurse when admitting a client who has a partial hearing loss. Hearing aids are devices that amplify sound and improve hearing for people with hearing loss. The nurse should determine if the client uses hearing aids, and if so, check their function, fit, and battery life. The nurse should also ask about any other assistive devices or strategies that the client uses to communicate effectively.

Correct Answer: B

Rationale: Increasing the intake of leafy greens and other sources of dietary fiber can worsen diarrhea by increasing stool bulk and motility. Eating frequent small meals, increasing fluids, and taking prescribed medications help manage IBS symptoms.

Correct Answer: A

Rationale: Increased pressure from portal hypertension causes abdominal swelling (ascites). It is not caused by heart overworking, and it worsens, not resolves, with cirrhosis.

Correct Answer: C

Rationale: Changing the IV tubing every 24 hours is recommended to prevent infection and maintain sterility, as TPN can support bacterial growth (
Choice
C). Blood glucose should be monitored every 4-6 hours, not every 12 hours, due to TPN's high-glucose content affecting blood sugar levels (
Choice
A). IV site dressings should be changed daily or as needed to prevent infection, not every 4 days (
Choice
B). The client should be weighed daily, not every other day, to assess fluid balance and nutritional status (
Choice
D).

Correct Answer: A

Rationale: The Glasgow Coma Scale score is 9: eye opening to verbal stimulation (3), shouting/confused speech (4), and withdrawing from pain (2). Scores of 11, 13, or 15 require higher responses in motor, verbal, or eye opening categories.