Nokea
To evaluate a teaching plan implemented for a patient being discharged, what should the nurse do?
- A. Document the plan
- B. Report to the head nurse that teaching was done
- C. Compare learning outcomes with objectives
- D. Ask his family what he has learned
Correct Answer: C
Rationale: Comparing learning outcomes with objectives ensures the teaching plan was effective.
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The healthcare provider is caring for a client who has heart failure and a history of asthma. The provider reviews the orders and recognizes that clarification is needed for which of the following medications?
- A. Carvedilol
- B. Fluticasone
- C. Captopril
- D. Isosorbide dinitrate
Correct Answer: B
Rationale: The correct answer is B: Fluticasone. Fluticasone is an inhaled corticosteroid used to treat asthma, which can worsen heart failure symptoms. The healthcare provider needs to clarify this medication due to the client's history of asthma and heart failure. Carvedilol (A) is a beta-blocker used to treat heart failure. Captopril (C) is an ACE inhibitor also used in heart failure. Isosorbide dinitrate (D) is a vasodilator used for heart failure and angina, not contraindicated in asthma.
Which statement(s) about older people are only myths and illustrate the concept of ageism (select all that apply)?
- A. Can't teach an old dog new tricks
- B. Old people are not sexually active
- C. Most old people live independently
- D. Most older adults can no longer synthesize new information
Correct Answer: B
Rationale: Statements perpetuating stereotypes about learning ability, sexual activity, and cognitive function in older adults reflect ageism. Many older adults remain capable learners and maintain active lifestyles.
Priority treatment of a fracture is
- A. Surgical reduction of the fracture.
- B. Immobilization of the area.
- C. Insertion of an internal fixation device.
- D. Reduction of the fracture.
Correct Answer: B
Rationale: Immobilization prevents further injury and promotes healing.
A client with chronic obstructive pulmonary disease is being taught by a nurse about ways to facilitate eating. Which of the following statements indicates a need for further teaching?
- A. I will rest for at least 30 minutes before eating.
- B. I will take my bronchodilators after meals.
- C. I will eat five or six small meals each day.
- D. I will choose foods that are not gas-forming.
Correct Answer: B
Rationale: The correct answer is B: "I will take my bronchodilators after meals." Taking bronchodilators after meals can decrease their effectiveness due to delayed absorption. Step 1: Bronchodilators should be taken before meals to open airways for better breathing. Step 2: Resting before meals (A) can reduce shortness of breath. Eating small meals (C) can prevent overeating and aid digestion. Choosing non-gas forming foods (D) can reduce bloating.
Which risk is more prone to clients who administer carbamazepine for bipolar disorder?
- A. Risk for injury
- B. Risk for self-directed violence
- C. Risk for imbalanced nutrition
- D. Risk for infection
Correct Answer: D
Rationale: Carbamazepine can suppress the immune system, increasing the risk of infections.