Teaching and Learning/Patient Education PrepU

An adult client who has been diagnosed with a rectal tumor is scheduled to begin treatment with cisplatin. The nurse has conducted client teaching about the possibility of nausea and vomiting. In order to reduce the client's risk of severe nausea, the nurse should:

administer a combination of antiemetics prior to the administration of the drug.

A client who recently had a stroke requires a cane to ambulate. When teaching about cane use, how should the nurse explain that the reason for holding a cane on the uninvolved side?

distribute weight away from the involved side.

A nursing instructor is teaching about newborn congenital disorders and realizes that the student needs further instruction after making which statement?

"All congenital disorders can be diagnosed at birth."

One hour before a client is to undergo abdominal surgery, the physician orders atropine, 0.6 mg I.M. The client asks the nurse why this drug must be administered. How should the nurse respond?

"Atropine decreases salivation and gastric secretions."

A nurse is caring for a client with an average heart rate of 56 beats/min. The client has no adverse symptoms associated with this heart rate and is receiving no treatment. Which activity modification should the nurse suggest to avoid further slowing of the heart rate?

"Avoid bearing down while having a bowel movement."

To prevent gastroesophageal reflux in a client with hiatal hernia, the nurse should provide which discharge instruction?

"Avoid coffee and alcoholic beverages."

A child diagnosed with acute otitis media has been given a prescription for benzocaine. The nurse is correct when she makes which statement?

"Benzocaine drops should be placed in your ear to numb it and reduce pain."

A nurse is teaching a client who will soon be discharged with a prescription for warfarin (Coumadin). Which statement should the nurse include in discharge teaching?

"Don't take aspirin while you're taking warfarin."

A client with high blood pressure is receiving an antihypertensive drug. When developing a client teaching plan to minimize orthostatic hypotension, which instruction should the nurse include?

"Flex your calf muscles, avoid alcohol, and change positions slowly."

A nurse is caring for a client who has a history of sleep apnea. The client understands the disease process when they say

"I should become involved in a weight loss program."

A nurse is teaching the client about the causes of fast heart rates. What client statement indicates the client requires more teaching?

"I will drink coffee with only two of my meals."

After teaching nursing students about substance abuse and its effects on individuals and families, the instructor determines that additional teaching is necessary when the students state which of the following?

"Individuals frequently engage in substance use and abuse to enhance their decision-making ability."

After teaching the mother of a 13-month-old boy about suggestions for bathing and hygiene, the nurse determines that the teaching was successful when the mother states:

"It might be best to give him a bath in the evening."

The nurse evaluates the client's understanding of nutritional modifications to manage hypertension. The nurse knows the teaching was successful when the client makes what statement?

"Limiting my salt intake to 2 grams per day will lower my blood pressure."

A client asks the nurse what the difference is between osteoarthritis (OA) and rheumatoid arthritis (RA). Which response is correct?

"OA is a noninflammatory joint disease. RA is characterized by inflamed, swollen joints."

A nurse provides preoperative education to a client scheduled to undergo elective surgery. The nurse includes instructions about proper skin care. Which client statement indicates the need for further education?

"On the morning of the surgery, I can shave my surgical area at home to save time."

A client recently diagnosed with an injury to the articular cartilage of the knee asks the nurse how long it will take the injury to heal. Which statement is the best response from the nurse?

"Regeneration of most cartilage is slow. These injuries can take a long time to heal."

A client has a circular rash on their leg, accompanied by malaise, fever, headache, and joint aches. Laboratory studies and physical examination findings confirm that the client has Lyme disease. The client's physician orders tetracycline hydrochloride , 500 mg P.O. q.i.d. Which instruction about taking tetracycline should the nurse give the client?

"Take the drug on an empty stomach."

A woman gave birth to a healthy term newborn about 2 hours ago. She asks the nurse about the appearance of her newborn's head. Assessment reveals swelling of the head that extends across the midline. Which response by the nurse would be appropriate?

"The swelling in your newborn's head is due to the head pressing against your cervix during labor and birth. It will go away on its own in a few days."

Parents report that their child, age 4, resists going to bed at night. After instruction by the nurse, which statement by the parents indicates effective teaching?

"We'll read the child a story and let the child play quietly in bed until the child falls asleep."

A nurse is planning discharge instructions for the client with osteomyelitis. What instructions should the nurse include in the discharge teaching?

"You will receive IV antibiotics for 3 to 6 weeks."

You are teaching a class on diseases of the ear. What would you teach the class is the most characteristic symptom of otosclerosis?

A progressive, bilateral loss of hearing

A nurse is educating a group of nursing students on the mechanisms of action of angiotensin-converting enzyme inhibitors (ACEI). What should the nurse explain is the hormone produced by the adrenal cortex?

Aldosterone

When teaching a client with newly diagnosed hypertension about the pathophysiology of this disease, the nurse states that arterial baroreceptors, which monitor arterial pressure, are located in the carotid sinus. Which other area should the nurse mention as a site of arterial baroreceptors?

Aorta

On admission a client reports taking disulfiram as part of their home medications. What would the nurse need to be aware of when coordinating the client's other medications?

Avoid all products containing alcohol.

A home care nurse provides health education to parents regarding the care of their toddler. Which precaution should the nurse suggest the parents take to protect the toddler from drowning?

Avoid unattended baths for the toddler.

A client is prescribed two sprays of a nasal medication twice a day. The nurse is teaching the client how to self-administer the medication and instructs the client to

Blow the nose before applying medication into the nares.

Which statement should the nurse convey to the mother of a 3-year-old son who has not achieved urinary continence?

Boys may take longer for daytime continence than girls.

The nursing instructor is teaching their clinical group how to assess a client for congestive heart failure. How would the instructor teach the students to assess a client with congestive heart failure for nocturnal dyspnea?

By questioning how many pillows the client normally uses for sleep

When instructing a client in how to use a topical nasal spray, what would the nurse emphasize to do first?

Clear the nasal passages.

The nurse has educated the client on the pathophysiology of osteoarthritis and degenerative joint disease. This type of teaching best illustrates which learning theory?

Cognitive learning theory

A nurse is providing follow-up teaching at a clinic visit for a client recovering from gastric resection. The client reports sweating, diarrhea, nausea, palpitations, and the desire to lie down 15 to 30 minutes after meals. Based on the client's assessment, what will the nurse suspect?

Dumping syndrome

A nurse is teaching the parents of a child with cystic fibrosis about proper nutrition. Which instruction should the nurse include?

Encourage a high-calorie, high-protein diet.

Which area of the heart that is located at the third intercostal space to the left of the sternum?

Erb point

The nurse is caring for an infant who was injured in a severe automobile accident. The child experienced several fractures and is in significant pain. The child's mother questions if this will impact her child later in life. What information should be provided by the nurse?

Experiences with pain even in infancy can influence an individual's response to pain later.

A nurse is planning an educational program for families with a mentally ill relative. Which goal is consistent with the current objectives of family education?

Improved family quality of life

What would the instructor tell the students purulent fluid indicates?

Infection

A client admitted to the alcohol detoxification program asks the nurse if there is a medication to "stop me from wanting a drink so badly." The nurse should teach the client about:

naltrexone.

A client with diabetes is being tested for glycosylated hemoglobin. How would the nurse explain the reason for this diagnostic test?

It determines the average blood glucose level in the previous 2-3 months.

A client with a concussion is discharged after the assessment. Which instruction should the nurse give the client's family?

Look for signs of increased intracranial pressure

During which phase of the action potential does calcium slowly enter the cell and potassium begin to leave?

Phase 2

Which would a nurse include when explaining the actions of glucocorticoids?

Prostaglandin formation decreases.

A client is recovering from gastric surgery. Toward what goal should the nurse progress the client's enteral intake?

Six small meals daily with 120 mL fluid between meals

A nurse is preparing to administer a client's prescribed anthelmintic medication. What diagnostic results should provide the rationale for the team's choice of medication?

Stool for ova and parasites

An instructor is describing the action of pancreatic enzymes on substances. Which would the instructor include as being acted on by these enzymes?

Sugars Proteins Fats

When describing the reflexes of the GI tract, which would be identified as a central reflex?

Swallowing

A visiting nurse is teaching a client with heart failure about taking their medications. The client requires six different medications that are taken at four different times per day. The client is confused about when to take each medication. How should the nurse intervene?

Teach a family member to fill a medication compliance aid once per week so the client can independently take their medications.

The nurse is providing education for a client diagnosed with hypothyroidism. What information about diet should the nurse be sure to include in this information?

The client should maintain a low cholesterol diet.

The nurse is teaching a client who has been diagnosed with Hashimoto's thyroiditis. Which statement correctly describes the process of autoimmunity?

The normal protective immune response attacks the body, damaging tissues.

The nurse is teaching a group of nursing students about the mechanism of action of common diuretics. What best reflects the mechanism of these drugs?

They block the reabsorption of sodium and chloride in the nephron.

At a health education class for teenagers, the nurse discusses the sexually transmitted infection chlamydia trachomatis. Which information would the nurse most likely include?

This infection is the most common infectious cause of infertility.

A nurse is speaking to a local women's group about the various types of cancer affecting the female reproductive tract. The nurse explains that ovarian cancer is the leading cause of death from gynecologic malignancies based on the understanding that this type of cancer does which of the following?

Typically manifests with vague symptoms resulting in late diagnosis

A client visiting the family medical physician is reporting her skin itching [pruritus]. Given that this is severe enough to causing excessive scratching that has broken the skin, the health care provider may want to educate the client to try which intervention?

Utilize topical antihistamines or corticosteroids for cutaneous disorders mediated by histamine.

A nurse is caring for a patient who has been prescribed a monoamine oxidase inhibitor (MAOI). What should the nurse ask the patient to avoid?

Yogurt

An experienced nurse is precepting a new nurse in a psychiatric emergency room and is discussing criteria for involuntary commitment. Which client would signal to the experienced nurse that the new nurse understands the criteria?

a person who threatens to kill their spouse of 38 years

A child is diagnosed with group A streptococcal pharyngitis. The nurse would teach the parents to be alert for signs and symptoms of

scarlet fever.

What substance is reabsorbed in the ascending limb of the loop of Henle?

sodium

Gastric juice secretion varies according to time of day, time and type of food consumed, psychological states, and other metabolic activities of the body. Secretion is stimulated by:

the parasympathetic nervous system.