Nokea
A patient is started on a new medication that requires monthly blood tests, and you are teaching her about it. Which response by the patient would indicate the need for more teaching?
- A. I will have to go to the lab for blood work for as long as I take this medication.
- B. I can get too much of this medicine in my blood, so I need lab tests to check the levels.
- C. I may have side effects that I need to tell the doctor about.
- D. I will go to the lab for a blood test every 6 weeks.
Correct Answer: D
Rationale: The patient's statement about 6-week intervals is incorrect, indicating a need for further teaching on monthly testing.
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You are working as a home health nurse and you make a visit to Mr. Odell, who is recovering from open heart surgery. You are teaching him the signs and symptoms of infection in his chest and leg incisions today. What are the most important things to include in your documentation of the teaching?
- A. Focus on describing the chest and leg incisions and whether or not they are infected more than focusing on your teaching.
- B. Be clear and thorough because another nurse may come next time to see this patient.
- C. The only effective way to prove evidence of learning is through a return demonstration.
- D. Document in such a way that tells the next nurse exactly what was taught that needs to be reinforced.
- E. Include specific descriptions of your patient teaching and evaluation of patient learning in order for the agency to be paid for your visit.
Correct Answer: B,D,E
Rationale: Clear, thorough documentation of teaching content and evaluation ensures continuity of care and meets agency requirements.
Do not assume an interpreter will be needed. Always ask the patient if he or she wants an interpreter.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Respecting patient preferences ensures effective communication.
Which of the following must you assess before making your teaching plan?
- A. The patient's age
- B. The patient's current level of knowledge
- C. The patient's presumed discharge date
- D. The teaching already done by other nurses
Correct Answer: A,B,D
Rationale: Assessing age, current knowledge, and prior teaching ensures the plan is tailored to the patient's needs and builds on existing knowledge.
Present related pieces of information together.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Grouping related information enhances understanding and retention.
Ensure that the patient is in a comfortable position and not experiencing pain or discomfort.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Comfort and pain-free status are essential for the patient to focus on learning.