A nurse is teaching a client about how to administer a topical medication. After showing the client the procedure, the nurse asks the client to perform the skill. Which of the following types of teaching strategies is the nurse using?

Return demonstration

Role play

Discussion

Questions and answer

Answer and Explanation

The Correct Answer is A

A. Return demonstration: The nurse demonstrates the procedure to the client and then asks the client to perform the same procedure. This allows the nurse to assess the client’s ability to correctly execute the skill and provides an opportunity for feedback and correction.

B. Role play: Role play involves the client pretending to be in a certain situation or assuming a particular role, often to practice communication or problem-solving skills. In this case, the focus is on teaching the client a physical task, not engaging in a simulated scenario.

C. Discussion: Discussion is a verbal exchange where the nurse provides information and clarifies any doubts the client may have. While this is an important strategy for knowledge transfer, it does not involve the client physically practicing the procedure.

D. Questions and answer: A question-and-answer format helps to assess understanding and clarify misconceptions. However, it does not provide the client with the opportunity to demonstrate their ability to perform the task.

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Correct Answer is B

Explanation

A. "Crushing the medication is a good idea, and I can mix it in some ice cream for you.": Enteric-coated medications should not be crushed because the coating protects the stomach lining and controls where the medication dissolves. Crushing removes this protection.

B. "Crushing the medication might cause you to have a stomachache or indigestion.": Enteric coatings prevent irritation of the stomach lining. Crushing the tablet can lead to direct stomach irritation, increasing the risk of discomfort or gastrointestinal side effects.

C. "Crushing is unsafe, as it destroys the ingredients in the medication.": Crushing does not destroy the medication’s ingredients but alters its intended release and absorption, potentially causing side effects.

D. "Crushing the medication would release all the medication at once, rather than over time.": This applies to extended-release medications, not enteric-coated aspirin, which is designed to dissolve in the intestines to protect the stomach.

A. Be sure to take your potassium supplements B. Report any excessive urinating to your physician C. Take your Lasix at night before bed D. Report any skin changes to your physician

Correct Answer is A

Explanation

A. Be sure to take your potassium supplements: Furosemide is a loop diuretic that increases the excretion of sodium and water along with potassium. Hypokalemia is a common side effect, so potassium supplementation or increased dietary intake may be necessary to prevent complications such as muscle cramps or cardiac arrhythmias.

B. Report any excessive urinating to your physician: Increased urination is an expected therapeutic effect of Furosemide. It is only concerning if it leads to dehydration, dizziness, or signs of electrolyte imbalance.

C. Take your Lasix at night before bed: Taking Furosemide at night is not recommended due to its diuretic effect, which may cause nocturia and disrupt sleep. It is best taken in the morning or early afternoon.

D. Report any skin changes to your physician: Skin changes are not a common or critical concern specifically associated with Furosemide. Monitoring for electrolyte imbalances and dehydration is more important in routine patient education.

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A nurse is teaching a client about how to administer a topical medication. After showing the client the procedure, the nurse asks the client to perform the skill. Which of the following types of teaching strategies is the nurse using?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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 B

Explanation

A nurse is performing discharge teaching with her patient and going over the information about her Furosemide (Lasix) (loop diuretic). One important teaching point for the nurse to remember is:

Correct Answer is A

Explanation

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