A nurse is preparing to teach a client about a new medication. Which of the following strategies should the nurse plan to use?(Select All that Apply.)

Provide educational material written at a 9th grade reading level.

Begin the session with the least important information.

Use active listening methods during the session.

Ask the client open-ended questions during the session.

Use the teach-back method during the session.

Answer and Explanation

Correct Answer : C,D,E

C) Use active listening methods during the session:
Active listening is crucial in educational sessions as it ensures the nurse fully understands the client’s needs and concerns. It involves attentively listening to the client, responding to their questions, and adapting the teaching to their feedback. This fosters effective communication and enhances learning.

D) Ask the client open-ended questions during the session:
Open-ended questions encourage clients to express their thoughts and provide more detailed responses. This approach helps the nurse assess the client’s understanding and identify any areas where further explanation might be needed. It also promotes a more interactive and engaging teaching process.

E) Use the teach-back method during the session:
The teach-back method involves asking the client to repeat the information in their own words to confirm their understanding. This technique is effective in reinforcing learning and identifying any gaps in the client’s comprehension, ensuring they are well-informed about their medication.

A) Provide educational material written at a 9th-grade reading level:
While providing educational material at an appropriate reading level is important, it is not selected here because the question focuses on strategies to use during the teaching session rather than the written material itself.

B) Begin the session with the least important information:
Beginning with the least important information is not an effective teaching strategy. It is better to start with the most critical points to ensure the client understands the essential aspects of their medication.

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Correct Answer is C

Explanation

A) Muscle pain:
Verapamil is a calcium channel blocker used to treat cardiac dysrhythmias and hypertension. Muscle pain is not a common adverse effect associated with verapamil. Instead, side effects related to cardiovascular function are more pertinent.

B) Ototoxicity:
Ototoxicity, which refers to hearing damage or tinnitus, is not a known side effect of verapamil. This is more commonly associated with certain antibiotics or chemotherapy agents, not calcium channel blockers like verapamil.

C) Hypotension:
Hypotension is a significant concern with verapamil, as it can lower blood pressure due to its vasodilatory effects. Monitoring blood pressure is crucial when administering verapamil, especially during an IV bolus, to ensure it does not drop too low and lead to symptoms of dizziness or fainting.

D) Hyperthermia:
Hyperthermia, or elevated body temperature, is not typically associated with verapamil use. Verapamil's side effects are more focused on cardiovascular and gastrointestinal systems, rather than temperature regulation.

A. "Crushing the medication is a good idea, and I can mix it in some ice cream for you." B. "Crushing the medication might cause you to have a stomachache or indigestion." C. "Crushing the medication would release all the medication at once, rather than over time." D. "Crushing is unsafe, as it destroys the ingredients in the medication."

Correct Answer is C

Explanation

A) "Crushing the medication is a good idea, and I can mix it in some ice cream for you."
Crushing enteric-coated medications is not advisable as it can disrupt the medication’s intended release mechanism. Enteric coatings are designed to protect the stomach lining and ensure that the medication is released in the intestines. Crushing the medication would bypass these protective mechanisms.

B) "Crushing the medication might cause you to have a stomachache or indigestion."
While this statement is somewhat true, it does not fully address the primary concern. Enteric-coated medications are designed to protect the stomach lining and to ensure proper absorption. Crushing them could lead to other issues beyond just stomachache or indigestion.

C) "Crushing the medication would release all the medication at once, rather than over time."
This is the most accurate response. Enteric-coated aspirin is designed to dissolve in the intestines rather than the stomach, and crushing it would lead to the medication being released all at once, which could potentially cause irritation or harm to the stomach and reduce the medication's effectiveness.

D) "Crushing is unsafe, as it destroys the ingredients in the medication."
While crushing enteric-coated medications can be unsafe, the primary issue is not the destruction of the ingredients but the loss of the medication’s intended release mechanism. This can result in adverse effects or reduced efficacy.

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A nurse is preparing to teach a client about a new medication. Which of the following strategies should the nurse plan to use?(Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer verapamil by IV bolus to a client who is having cardiac dysrhythmias. For which of the following adverse effects should the nurse monitor when giving this medication?

Correct Answer is C

Explanation

A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide?

Correct Answer is C

Explanation

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