Nokea
A nurse is reinforcing teaching with a client who has a new diagnosis of heart failure. Which of the following tools should the nurse use when speaking with client?
- A. Materials should be culturally diverse.
- B. Information must be accurate and current.
- C. Materials should be written at the eighth-grade level.
- D. Materials should be written in the client's spoken language.
- E. Materials should be distributed to the client in advance.
Correct Answer: A,B,C,D
Rationale: The correct tools for teaching a client with heart failure diagnosis are A, B, C, and D. A: Culturally diverse materials ensure inclusivity and relevance. B: Accurate and current information enhances understanding and compliance. C: Eighth-grade level ensures clarity and simplicity. D: Using the client's spoken language promotes comprehension. These tools cater to different learning needs and facilitate effective communication. Other options like distributing materials in advance (E) may not address immediate questions or concerns.
You may also like to solve these questions
A nurse is reinforcing teaching with a client who has diabetes mellitus about using a glucometer to monitor her blood glucose. Which of the following actions should the nurse identify as an indication that the client understands the instructions?
- A. Uses the ball of a finger as the puncture site
- B. Uses the side of a fingertip as the puncture site
- C. Avoids using the fingers of her dominant hand as puncture sites.
- D. Avoids using the thumbs as puncture sites
Correct Answer: B
Rationale: The correct answer is B: Uses the side of a fingertip as the puncture site. This is because the side of the fingertip has fewer nerve endings compared to the center, making it less painful for blood glucose monitoring. Choice A is incorrect as using the ball of a finger can be more painful. Choices C and D are incorrect as there is no specific reason to avoid using the fingers of the dominant hand or thumbs as puncture sites. It is important to choose a less painful site for blood glucose monitoring to encourage the client to monitor regularly.
A nurse is reinforcing teaching with a client who is obese and has obstructive sleep apnea about how to decrease the number of apneic episodes he has each night. Which of the following statements should the nurse identify as an indication that the client understands the instructions?
- A. I'll use a humidifier beside my bed at night.
- B. I'll sleep better if I take a sleeping pill at night.
- C. I am going to try to lose about 50 pounds.
- D. I am going to have a glass of red wine before bedtime.
Correct Answer: C
Rationale: The correct answer is C: "I am going to try to lose about 50 pounds." This statement indicates the client's understanding of how weight loss can help reduce obstructive sleep apnea episodes in obese individuals. Excess weight can contribute to airway obstruction during sleep, leading to apneic episodes. Losing weight can alleviate this pressure on the airway, improving breathing during sleep.
A: Using a humidifier may help with dry air but does not directly address the underlying cause of obstructive sleep apnea.
B: Taking a sleeping pill can mask symptoms but does not address the root cause of the issue.
D: Consuming alcohol before bedtime can worsen sleep apnea symptoms as it relaxes the throat muscles, potentially increasing the risk of apneic episodes.
A nurse is reviewing the medical record of a client who has a fluid volume deficit. The nurse should expect which of the following findings?
- A. BUN 12 mg/dL
- B. Urine output 15 mL/hr
- C. Hct 43%
- D. Urine specific gravity 1.020
Correct Answer: B
Rationale: The correct answer is B: Urine output 15 mL/hr. In a client with fluid volume deficit, the body tries to conserve fluids by decreasing urine output. A urine output of 15 mL/hr indicates decreased renal perfusion and fluid conservation, which are common in fluid volume deficit. Choices A, C, and D are within normal ranges and do not specifically indicate fluid volume deficit. Choice A (BUN 12 mg/dL) is within the normal range and is not significantly altered in fluid volume deficit. Choice C (Hct 43%) is also within normal range and may be elevated in dehydration, but not specific to fluid volume deficit. Choice D (Urine specific gravity 1.020) is concentrated, but not definitive for fluid volume deficit.
A nurse is caring for an older adult client who is Chinese and is recovering from a bowel obstruction. The client is prescribed a clear-liquid diet and asks the nurse for a cup of hot ginger tea. The nurse should identify that this request is for which of the following purposes?
- A. To regulate blood pressure
- B. To promote digestion
- C. To enhance the immune system
- D. To reduce inflammation
Correct Answer: B
Rationale: The correct answer is B: To promote digestion. Ginger tea has been traditionally used in Chinese medicine to aid digestion by stimulating the production of digestive enzymes and reducing bloating and gas. This can be particularly beneficial for an older adult recovering from a bowel obstruction as it can help ease the digestive process and prevent further complications. Additionally, ginger has anti-inflammatory properties, which can also be helpful in reducing inflammation in the digestive tract.
Other choices are incorrect:
A: To regulate blood pressure - While ginger may have some benefits for heart health, its primary role in this scenario is to aid digestion, not regulate blood pressure.
C: To enhance the immune system - While ginger may have some immune-boosting properties, the primary reason for the client's request in this case is to aid digestion.
D: To reduce inflammation - While ginger does have anti-inflammatory properties, the main purpose of the client's request is to aid digestion rather than specifically targeting inflammation.
A nurse is monitoring a client for complications of immobility. Which of the following findings should the nurse expect? (Select all that apply.)
- A. Contractures of extremities
- B. Hypertension
- C. Diarrhea
- D. Crackles in the lungs
- E. Pressure ulcers
Correct Answer: A,D,E
Rationale: The correct answers are A, D, and E. Contractures of extremities occur due to prolonged immobility. Crackles in the lungs can result from immobility-related respiratory complications. Pressure ulcers are common in immobile clients due to prolonged pressure on bony prominences. Hypertension and diarrhea are not typically associated with complications of immobility.