Nokea
A client diagnosed with a new onset of diabetes requires instruction on how to use a glucometer and self-administer insulin. What information will you need to gather in the learner assessment?
- A. Current knowledge level,preferred learning style and readiness to learn.
- B. Only current knowledge level.
- C. Only preferred learning style.
- D. Only readiness to learn.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You may also like to solve these questions
A 78-year-old patient is scheduled for transition to home after treatment for heart disease. The patient's spouse, who has chronic obstructive pulmonary disease, plans to care for the patient at home. The spouse says that their grown children, who live nearby, will help. The best approach to discharge planning is to
- A. arrange nursing home placement for the couple.
- B. consult the spouse's healthcare provider about the spouse's ability to care for the patient.
- C. contact the children to ascertain their commitment to help.
- D. discuss community resources with the spouse and offer to make referrals.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client has been diagnosed with hypertension but does not take the antihypertensive medications because of a lack of symptoms. What response by the nurse is best?
- A. Do you have trouble affording your medications?
- B. Most people with hypertension do not have symptoms.
- C. You are lucky; most people get severe morning headaches.
- D. You need to take your medicine or you will get kidney failure.
Correct Answer: B
Rationale: Step-by-step rationale:
1. Choice B is correct because it educates the client that hypertension often presents without symptoms.
2. Lack of symptoms does not mean the condition is not serious.
3. This response promotes understanding and adherence to medication.
4. Choices A, C, and D are incorrect as they do not address the main issue of hypertension being asymptomatic.
What aspect should a nurse pay particular attention to when assessing a client with a potential or actual infection?
- A. The client’s age and sex
- B. The client’s lifestyle and drinking habits
- C. The client’s recent travel to a foreign country
- D. The client’s diet and preference for meat
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You are teaching prevention of accidental eye injuries in a community health clinic to a church group. What is the most important thing to stress?
- A. Follow workplace policies for handling chemicals.
- B. Children and parents should be cautious about aggressive play.
- C. Wear protective eyewear during sports or hazardous work.
- D. Establish emergency eyewash stations in the workplace.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client is having a left pneumonectomy. In planning this client's postoperative care, nursing interventions for a postoperative left pneumonectomy would include:
- A. monitoring the chest tubes.
- B. positioning the client on the right side.
- C. positioning the client in the semi-Fowler's position with a pillow under the shoulder and back.
- D. monitoring the right lung for an increase in rales.
Correct Answer: D
Rationale: Chest tubes are not usually necessary in a pneumonectomy, because there is no lung to re-expand on the operative side. The pneumonectomy client should be positioned on the back or operated side, because the sutured bronchial stump may open, which would allow fluid to drain into the unoperated side and drown the client. The client should not have a pillow under the shoulder and back, because of the subscapular incision. Rales are commonly heard over the base of the remaining lung. An increase could indicate circulatory overload. Rales should be closely monitored.