A community health nurse is providing teaching to a client who speaks a different language. Which of the following findings should the nurse document as an indication that the client understands the teaching?
The client nods their head and smiles during the teaching.
The client demonstrates what they learned during the teaching.
The client wears their glasses and hearing aids during the teaching.
The client makes frequent eye contact during the teaching.
The Correct Answer is B
Choice A reason: Nodding and smiling are positive reactions, but they do not necessarily indicate understanding, as they can be polite responses or reflexive actions.
Choice B reason: Demonstration of learned content is a clear indication of understanding. When a client can replicate the teaching, it shows they have comprehended the information and are able to apply it.
Choice C reason: While wearing glasses and hearing aids can help a client see and hear the teaching better, it does not confirm that the client has understood the material presented.
Choice D reason: Frequent eye contact might suggest attentiveness, but like nodding and smiling, it is not a reliable indicator of comprehension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Assessing the bladder for distention is an important action, but not the first one. The nurse should first check the uterine tone and position, as a boggy or displaced uterus can indicate uterine atony, the most common cause of postpartum hemorrhage.
Choice B reason: Massaging the client's fundus is the first action to take. The nurse should apply firm, circular pressure to the fundus to stimulate uterine contractions and reduce bleeding. The nurse should also monitor the amount and character of lochia.
Choice C reason: Preparing to administer a prescribed oxytocic preparation is a necessary action, but not the first one. The nurse should first attempt to control the bleeding by massaging the fundus and assessing the bladder. If the bleeding persists, the nurse should administer medications such as oxytocin, methylergonovine, or carboprost to enhance uterine contractions.
Choice D reason: Assessing the client's blood pressure is an important action, but not the first one. The nurse should first manage the bleeding by massaging the fundus and preparing to administer medications. The nurse should also monitor the client's vital signs, including blood pressure, pulse, and temperature, for signs of shock or infection
Correct Answer is C
Explanation
A. Echinacea has anti-inflammatory properties that can help reduce pain and swelling associated with arthritis. Studies have shown that echinacea can be effective in managing inflammatory conditions like arthritis, making this a likely indicator of its effectiveness.
B. While echinacea may have some calming effects, it is not primarily used to treat sleep disorders. Therefore, improved sleep is not a direct indicator of echinacea's effectiveness.
C. Echinacea is known for its immune-boosting properties, which can aid in wound healing. However, this is not its primary use, and other factors could contribute to wound healing.
D. Echinacea does not have a significant impact on blood pressure. Therefore, a change in blood pressure is not an indicator of its effectiveness.
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