Patient Education

It is determined that a client with heart block will require implantation of a permanent pacemaker to assist heart function. The nurse explains that the pacemaker is necessary to:

Simulate a normal heartbeat

Which between-meal snack should a nurse tell the parents of a preschooler with a urinary tract infection to offer their child?

Skim milk

A nurse is teaching a community group about the basics of nutrition. A participant questions why fluoride is added to drinking water. The nurse should respond that it is a necessary element added to drinking water to promote:

Dental health

A school nurse is asked to screen children in a third-grade class for head lice. In light of an 8-year-old's developmental level, how should the nurse first address the class?

Describe what head lice are and how they look.

Loratadine (Claritin), 10 mg by mouth once a day in the morning, is prescribed for a 15-year-old girl with hay fever. The girl tells the school nurse that she is concerned that she will be sleepy for a quiz the next day. How should the nurse respond?

By explaining that this medication rarely causes drowsiness

A health care provider prescribes lithium carbonate for a client with bipolar disorder, depressive episode. What instructions should the nurse include when teaching the client about lithium? Select all that apply.

Take the medication with food. It may take several weeks for beneficial results to occur. You do not have to restrict your intake of dietary sodium

A client on the psychiatric unit asks a nurse about psychiatric advance directives (PADs). What information should form the basis of the nurse's response?

A client is allowed to consent to or refuse potential psychiatric treatments if a future incapacitating mental health crisis occurs

A client is scheduled for a vacuum aspiration abortion to terminate an unwanted pregnancy. What information should the nurse's teaching plan include?

A temperature of 100.4° F (38° C) or higher should be reported immediately

A nurse is preparing to teach a mental health course at a community health center. What information should the nurse include as one of the most effective ways to limit the occurrence of mental illness in the community?

Developing multiple coping strategies

While teaching a prenatal class about infant feeding, the nurse is asked about the relationship between breast size and ease of breastfeeding. How should the nurse respond?

Breast size is not related to milk production."

A 24-year-old woman wants to use her basal body temperature (BBT) in natural family planning but is unsure when to take her temperature. The nurse informs her that an accurate BBT is best taken:

Each morning prior to getting out of bed or increasing her activity

A client whose total cholesterol level is found to be 210 mg/dL at a screening session at a health fair asks the nurse what to do in light of this result. The nurse responds, "Your level is:

Elevated slightly and a diet low in saturated fats should be followed.

A nurse provides dietary teaching about a low-sodium diet for a client with hypertension. Which nutrient selected by the client indicates an understanding about foods that are low in natural sodium?

Fruit

A client who has been breastfeeding tells the nurse on the third postpartum day that her breasts are painful and that she is afraid that the baby will hurt her while grasping the nipple and suckling. What is the nurse's best response?

Helping the client express some milk manually before feeding

The nurse has provided instructions about back safety to a client. Which client statement indicates understanding of the instructions?

I should carry objects close to my body.

A nurse is writing a teaching plan about osteoporosis. How should the nurse explain what osteoporosis is?

It involves a decrease in bone substance

What is the most important information the nurse can give a client who was just diagnosed with hypertension?

Long-term follow-up care is necessary.

A client with type 2 diabetes develops gout, and allopurinol (Zyloprim) is prescribed. The client is also taking metformin (Glucophage) and an over-the-counter nonsteroidal antiinflammatory drug (NSAID). When teaching about the administration of allopurinol, what should the nurse instruct the client to do?

Monitor blood glucose levels more frequently

A client at 16 weeks' gestation is being treated for Trichomonas vaginalis . Which statement best indicates to the nurse that the client has learned measures to prevent a recurrence?

My partner has to get treated before we have sex again."

A nurse is caring for a moderately depressed client. What activity is most appropriate for this client?

Participating in aerobic exercise Physical activity in a noncompetitive environment can help ease depressive symptoms.

After a resection of the colon, a client returns to the surgical unit from the postanesthesia care unit with a nasogastric tube to negative pressure. The nurse explains that this tube is used to:

Remove fluids and gas from the upper gastrointestinal tract

A client who is at 33 weeks' gestation has contracted gonorrhea and is prescribed probenecid (Benemid) and penicillin. What instructions will the nurse give to the client regarding the reason for dual therapy?

The amount of penicillin in your blood is increased.

To prepare a client for discharge, the nurse is providing dietary instructions to a client that had a pancreaticoduodenectomy (Whipple procedure). What should the nurse include in the instructions?

The surgery has interfered with the fat digestion mechanism; a low-fat diet is needed

Before a transurethral resection of the prostate (TURP), a client asks about what to expect postoperatively. The most appropriate response by the nurse is:

There will be an indwelling urinary catheter and a continuous bladder irrigation in place.

A client with chronic kidney failure asks the nurse, "Why do I need continuous ambulatory peritoneal dialysis?" Which concept about continuous ambulatory peritoneal dialysis provides the basis for the nurse's response?

Uses the peritoneum as a semipermeable membrane to clear toxins by osmosis and diffusion

When planning discharge teaching for a young adult, the nurse should include the potential health problems common in this age group. What should the nurse include in this teaching plan?

Accidents, including their prevention

The parents of a child with acute poststreptococcal glomerulonephritis tell the nurse that they are concerned about activity restrictions after discharge. How should the nurse respond?

Activity does not affect the course of the illness.

A client who has had an uncomplicated myocardial infarction asks the nurse about the resumption of sexual activity. Which parameters should the nurse consider to determine the safe resumption of sexual activity? Select all that apply

At least between 4 and 6 weeks after the myocardial infarction The point at which two flights of stairs can be climbed without dyspnea

A client with chronic heart failure is taking a diuretic twice a day. The health care provider prescribes a diet that includes the intake of dietary potassium. What foods that have a higher amount of potassium should the nurse instruct the client to consume? Select all that apply .

Bananas Baked potatoes with skins

A child with celiac disease is prescribed a gluten-restricted diet. Which lunch selection for the child indicates that the parent understands the dietary instruction provided by the nurse?

Beef taco, corn, canned peaches, chocolate milk

An obese client with a hiatal hernia asks the nurse how to prevent esophageal reflux. What is the nurse's best response?

Eat less food at each meal.

A nurse is considering the family's role in discharge planning for an adult client who has been in a psychiatric facility. What is the most appropriate nursing action after the nurse obtains the client's consent?

Including the family when making specific discharge plans

A nurse is caring for a client that had a pancreaticoduodenectomy for cancer of the pancreas. The nurse provides education about hypoinsulinism, a long-term complication related to this type of surgery. The nurse evaluates that the teaching is understood when the client states, "I should seek medical supervision if I experience:

Increased thirst.

The nurse is educating a client who is being discharged after insertion of a coronary artery stent. For what signs and symptoms should the nurse instruct the client to seek immediate medical attention? Select all that apply.

Unexplainable profuse diaphoresis Indigestion not relieved by antacids Acute chest pain after rigorous exercise Nonremitting chest pain after three sublingual nitroglycerine tablets

After a prostatectomy, the client's retention catheter is pulled taut and is taped to the thigh. The client reports that the catheter is pulled too tight. What is the best initial action for the nurse to take?

Explain that the traction helps to control bleeding

The nurse is teaching a parent of a 2-year-old toddler how to administer ear drops. In what direction should the nurse teach the parent to gently pull the pinna?

Down and back