A nurse is teaching a client about the use of electronic resources to research health information. Which of the following client responses indicates an understanding of the teaching?

"Websites that sell health care products provide the most unbiased health information."

"The most credible and efficient websites for locating scholarly health information end in .com."

"Dependable websites containing health information keep their commercial sponsors anonymous."

"My provider is responsible for showing me how to evaluate health information on the Internet."

Answer and Explanation

The Correct Answer is D

A. "Websites that sell health care products provide the most unbiased health information." Websites that sell products may have a conflict of interest and may not provide the most unbiased information.
B. "The most credible and efficient websites for locating scholarly health information end in .com." Credible health information is more commonly found on websites ending in .gov, .edu, or .org, rather than .com.
C. "Dependable websites containing health information keep their commercial sponsors anonymous." Transparency about commercial sponsors is important for credibility; anonymous sponsorships may indicate a lack of transparency.
D. "My provider is responsible for showing me how to evaluate health information on the Internet." This is correct. Providers can guide patients on evaluating the credibility and reliability of health information found online.

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Correct Answer is C

Explanation

A. Offer the client hot chocolate or tea prior to rest periods. While warm beverages can be comforting and help some people relax, hot chocolate and many teas contain caffeine, which can interfere with sleep. Even decaffeinated options might not be the best choice close to bedtime due to the fluid content, which could increase the need for nighttime urination, disrupting sleep.
B. Encourage the client to ambulate in the hallway before resting. Light physical activity, such as ambulating, can help promote relaxation and reduce muscle tension, which might aid sleep. However, it is essential to consider the client's postoperative status and ensure that ambulation is safe and appropriate for their condition. Overexertion close to bedtime might have the opposite effect and increase alertness.
C. Cluster routine care activities to allow rest periods without interruptions. This is a highly recommended intervention. By clustering care activities, the nurse can minimize disturbances during rest periods, allowing the client to have longer, uninterrupted sleep. This is crucial in a hospital setting where frequent interruptions can significantly impact the quality of sleep.
D. Encourage the client to watch television to relax. While watching television can be relaxing for some, it can also be stimulating and potentially interfere with sleep due to the light and noise. Blue light emitted from screens can suppress melatonin production, making it harder to fall asleep. Therefore, this is generally not recommended as a sleep aid.

A. "Report a firm ridge below the breasts to the provider." B. "Keep your arm relaxed at your side on the side you are examining." C. "Use your thumb and forefinger to palpate each breast for lumps." D. "Use firm pressure to palpate near the area of the ribs and chest wall."

Correct Answer is D

Explanation

A. "Report a firm ridge below the breasts to the provider." A firm ridge along the bottom curve of the breast can be normal. It’s important to distinguish between normal breast tissue and abnormal lumps. Encouraging clients to report any changes or new lumps to the provider is more appropriate.
B. "Keep your arm relaxed at your side on the side you are examining." The correct technique involves raising the arm on the side being examined to help spread out the breast tissue, making it easier to palpate for lumps and abnormalities.
C. "Use your thumb and forefinger to palpate each breast for lumps." The correct technique involves using the pads of the fingers (not the thumb and forefinger) to palpate the breast in a systematic pattern, such as circular motions or vertical strips, to thoroughly check all areas of the breast.
D. "Use firm pressure to palpate near the area of the ribs and chest wall." Using firm pressure is appropriate for palpating deeper tissues closer to the ribs and chest wall, as this helps detect lumps that may not be superficial.

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A nurse is teaching a client about the use of electronic resources to research health information. Which of the following client responses indicates an understanding of the teaching?

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