Exam 7 FlexiQuiz 2of3

create a learning plan that identifies specific learning outcomes and learning activities.

A nurse on a cardiac care unit performs client education at many different points during clients' treatment. However, the nurse has recently been assigned to teach a formal, group education series for adults who have undergone recent cardiac bypass graft surgery. When preparing to provide formal teaching, the nurse should:

Ask the client to recall after approximately 15 minutes.

The nurse is caring for a 70-year-old client with a fractured wrist. Which of the following is the best method to determine if the client has retained the information taught?

uses videos, diagrams, and pictures rather than focusing on verbal teaching

The nurse is caring for a client who demonstrates a health literacy concern. The nurse adjusts client teaching in which way?

as soon as possible after admission

The nurse is caring for a client who has been admitted for a new diagnosis of hypertension. When does the nurse begin client teaching?

as the client is sitting quietly, reading a book

The nurse is planning to provide teaching to a client who is recovering from abdominal surgery. When is the most appropriate time to teach the client?

Observe changes in the client's behavior after teaching

A nurse is providing health education to a client who has been admitted to the health care facility. How can the nurse best determine that the education standards have been met?

elderly people

A nurse is teaching the importance of personal hygiene and proper bowel movement to a group of clients using gerogogy. Which client is the nurse addressing?

79-year old who has slight cognitive changes

The nurse is preparing to teach four clients. Which client will the nurse plan to teach using principles associated with gerogogy?

Creating a plan

The nurse is required to provide formal education to a client admitted to the health care facility. Which of the following should the nurse consider first when providing formal education?

gauze

A nurse is caring for a client with draining wounds. The nurse needs to apply a dressing that has a highly absorbent nature. Which type of dressing should the nurse use for this client?

Obtain an order for automatic-stop syringes. Provide written information in large print. Use audio learning materials

34. A nurse is teaching a patient who has impaired vision to self-inject insulin. Which should the nurse do to facilitate the teaching- learning process? Select all that apply A. Enunciate each word clearly. B. Obtain an order for automatic-stop syringes. C. Provide written information in large print. D. Use audio learning materials. E. Speak slowly

abrasion

A 7-year-old child is brought to a health care facility following a fall from a swing. The nurse notes that surface layers of the skin have been scraped away due to the fall. How should the nurse document this wound?

Position the client to put the least strain on the operated area.

A client at a health care facility who underwent an appendectomy describes to the nurse that he feels like something has "given way." On inspecting the surgical wound, the nurse notes a pinkish drainage on the dressing. What intervention should the nurse perform in this case?

The client's motivation

A client has been admitted to the health care facility and a plan of nursing care has been created. The nursing care plan specifies that client education should begin as soon as possible and a nurse has begun an assessment in preparation for this education. What assessment parameter should the nurse prioritize during this assessment?

When admitting the client

A client is admitted to the health center with chronic diarrhea. When should the nurse begin imparting health teaching about the benefits of proper diet to the client so that the risk of diarrhea is minimized?

a clean separation of skin and tissue with smooth, even edges

A client is brought to a health care facility for treatment of a bleeding cut. The client was injured by a sharp knife. How can the nurse describe the client's wound?

personal responsibility

A client with a history of type 1 diabetes is discussing their medication regimen with the nurse. The client is able to relate the pathophysiology of diabetes to each of the potential complications of the disease and is well-versed in different types of insulin and oral antihyperglycemics. The nurse should recognize that this client demonstrates a high level

"When 15 minutes have passed, I will ask your parent to show me how to instill the drops."

The nurse is teaching an 80-year-old client how to instill eye drops for glaucoma. The client's daughter asks, "How do you know that my parent understands what to do?" What is the appropriate nursing response?

presence of deeply ulcerated tissue exposing muscles and bones

A nurse is caring for a client who has a stage IV pressure ulcer. What is a characteristic of this type of ulcer?

scar formation

When assessing a client's wound, the nurse observes that the damaged tissue is being replaced with fibrous tissue. How should the nurse document this restoration of tissue integrity?

Use verbal and visual modes of communication.

When caring for a client at a health care facility, the nurse discovers that the client is unable to read or write. Which of the following teaching approaches is most useful for the client?

Arrange for a professional interpreter to be present when the nurse performs client education.

A client is scheduled for discharge from the hospital and the client's primary care provider has prescribed subcutaneous injections of an anticoagulant for the next 10 days. The nurse has to teach the client how to correctly self-administer the medication but the client speaks very little English. How should the nurse meet this client's learning needs?

removes necrotic tissue from healthy area of a wound

A nurse is assisting a physician who is using the sharp debridement technique at the bedside of a client at a health care facility. What is the purpose of sharp debridement?

Gather pertinent information from the client.

A nurse is caring for a 45-year-old male client who lost function in both of his legs due to an automobile accident. Which of the following should the nurse do first to personalize the learning?

period during which new cells fill and seal a wound

A nurse is caring for a client with a puncture wound in the proliferation phase of the wound repair process. Which statements describes this phase of the wound repair process?

Joint Commission

A nurse is working with a client who has recently had an ostomy created after bowel resection surgery. The client is preparing to be discharged home and the nurses in the hospital unit have been performing and documenting relevant client education. Client teaching is specifically mandated for health care organization accreditation by the:

Involve the client in an active way.

During a health teaching session, the nurse notes that the client is not attentive and loses concentration easily. Which of the following techniques is most appropriate to grab the attention of the client during the education?

51-year old who has a sprained wrist 6 months ago, who now has a sprained ankle, and knows to take anti- inflammatory medication

The nurse determines that which client has accomplished the learning level of application according to Bloom's taxonomy?

states, "I feel comfortable using my walker."

The nurse has completed teaching. Which client behavior demonstrates understanding within the affective domain?

appropriate use of glucometer community resources instructions to follow-up with the healthcare provider meal planning

The nurse is preparing discharge teaching for a client with diabetes. Which information will the nurse include? (Select all that apply.) A. appropriate use of glucometer B. ways to pay for hospitalization and outpatient care charges C. community resources D. instructions to follow-up with the healthcare provider E. meal planning

Refer to the American Heart Association website, Demonstrate MyFoodPyramid phone app, to show the best food choices on a lunch tray.

The nurse is preparing to teach a client from Generation X about hypertension. Which teaching approach will the nurse plan to implement?

functionally illiterate

The nurse notes that a diabetic client has been readmitted to the health care facility with a high blood sugar level as the client had not followed the proper diet. The client is unable to read and speak English properly and can only sign their name. Which category does the client fall into?

affective domain

The nurse observes that a client responds better to health education when the nurse motivates him and assures him about the benefits of the teaching. In which of the following learning domains does the client's learning style fall?

Assess for cultural differences.

When caring for a client at the health care facility, the nurse observes that the client is having difficulty understanding the health education. Which action is most appropriate?

Wound edges are directly next to each other.

When caring for a client with an open wound, which characteristic should the nurse observe if the wound heals by primary intention?

self-administration of medications

When caring for a client, the nurse also plans to provide health education to the client. On which subject area should the nurse primarily focus?

attention and concentration

When caring for a client, the nurse gives day-to-day examples to explain certain points of the health education. The nurse also notes the client's concentration level and educates when the client is active. Which category does the client fall into?

cognitive domain

When caring for a client, the nurse observes that the client enjoys reading books and magazines. In which of the following learning domains does the client's learning style fall?

psychomotor domain

When caring for a diabetic client, the nurse notes that the client learns better when he practices the self-administration of the insulin injection by himself. In which learning domain does this client's learning style fall?

shortened attention span

When conducting health teaching for a client, the nurse uses the client's name frequently throughout the instructional period. Which learning barrier is the nurse trying to resolve?

The pressure of the trapped solution could rupture the eardrum.

When irrigating a client's ear, the nurse avoids occluding the ear canal with the tip of the syringe. Why should the nurse take such a precaution?

limits movement in the wound area

When treating a client for a sprained ankle, the nurse wraps the client's ankle in a bandage. What is the purpose of wrapping the client's ankle in a bandage?

There is limited hospitalization time.

Why should a nurse immediately begin the health teaching of a client who has been admitted to the health care facility for a routine physical examination?

Recurrent turn

A nurse is caring for a client with diabetes whose right leg has been amputated due to complications related to gangrene. Which technique should the nurse use in order to bandage the amputated leg?

drainage occurs passively by gravity and capillary action

A nurse uses an open drain to drain the blood and drainage from a client's wound. The nurse knows that an open drain functions in which way?

knotted ties that hold an incision together.

A physician uses sutures during the surgery on a client at a health care facility. What are sutures?

verbalizes key points of a brochure about diabetes that was read provides a description of what appropriate wound healing should look like

The nurse has completed teaching. Which client behavior demonstrates understanding within the cognitive domain? (Select all that apply.) A. provides return demonstration of use of inhaler B. expresses belief system in a higher power C. verbalizes key points of a brochure about diabetes that was read D. states, "I feel comfortable using my walker." E. provides a description of what appropriate wound healing should look like

Re-teach the length of time to take the prescription.

The nurse has provided teaching for a client with a sinus infection who has been prescribed antibiotics and a decongestant. What is the appropriate nursing response when the client states, "I'm not sure how many days I'm supposed to take this antibiotic."

They respond to competition.

The nurse is caring for a 10-year-old client with gastritis. During the health education, which of the following points should the nurse keep in mind with regards to the characteristics of pedagogic learners?

Begin the session with a reference to the client's actual experience.

The nurse is caring for a 60-year-old client with an improper bowel movement regimen. Which of the following is the most appropriate method the nurse should use to conduct new learning?