# A client with low vision says, "I cannot read the medication labels or discharge sheet." Which action should the nurse take?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=498096&lang=en  
> language: en  
> subject: Assistive Devices  
> category: BCC

## Question

A client with low vision says, "I cannot read the medication labels or discharge sheet." Which action should the nurse take?

## Option

1. Ask the preferred accessible format and provide high-contrast or audio instructions **✔ Correct answer**
2. Give standard small-print materials and ask the family to explain all content later
3. Speak much louder while pointing to each label without describing its content
4. Rearrange personal items each day so the client learns different room layouts

**Correct answer: 1**

## Explanation

The nurse should ask how the client best accesses information and provide an appropriate format such as high-contrast large print or audio. Accessible communication supports safe medication use and preserves the client's independence rather than shifting teaching to family members.

## In-depth explanation

Quick answer
Ask the client which accessible format works best and provide the instructions in that format. Low vision requires accommodation, not exclusion from teaching.

Why this is correct
High contrast, larger text, audio, and consistent organization can make health information usable for people with low vision. Directly teaching the client in a preferred accessible format reduces medication errors and respects independent decision-making.

Easy analogy or mental picture
Accessible formatting is like adjusting the focus on a projector so the same information can be seen clearly. The adjustment improves access but does not assume every person with low vision needs the same device or format.

Memory hook
Ask, adapt, and address the client directly: preferred format first, accessible teaching next.

NCLEX decision rule
For sensory disability, communicate directly with the client, ask about preferred accommodations, and provide equivalent information in an accessible form. Do not assume louder speech, family substitution, or environmental inconsistency is helpful.

Why the other choices are wrong
Small print remains inaccessible and assigning teaching to family removes client participation. Louder speech does not correct vision, and frequently moving belongings reduces safe orientation.References

- [1]NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing

- [2]VA Vision Center of Excellence: Caring for Patients with Visual ImpairmentU.S. Department of Veterans Affairs, 2024

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