A nurse is teaching a client how to self-administer daily low-dose heparin injections. Which of the following factors is most likely to increase the client's motivation to learn?

The nurse explaining the need for education to the client

The client's belief that his needs will be met through education

The client seeking family approval by agreeing to a teaching plan

The nurse's empathy about the client having to self-inject

Answer and Explanation

The Correct Answer is B

B. When the client believes that learning how to self-administer daily low-dose heparin injections will meet their needs, such as improving their health, managing their condition effectively, or promoting independence, they are more likely to be motivated to engage in the learning process.
A. Understanding the importance of education is crucial, but it may not directly impact the client's motivation unless it is coupled with other factors.
C. While seeking family approval may be a motivating factor for some clients, it may not necessarily be the most significant factor in increasing motivation to learn.
D. Empathy from the nurse can create a positive learning environment and foster trust between the nurse and client, which can indirectly contribute to the client's motivation. However, the client's motivation is primarily influenced by their own beliefs, needs, and perceived benefits of education.

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Correct Answer is D

Explanation

D. It is the most appropriate action to ensure accuracy and reliability of the blood pressure reading. Discrepancies in blood pressure readings between arms may indicate arterial abnormalities or differences in blood pressure measurement technique. Rechecking the client's blood pressure in her other arm allows the nurse to verify the consistency of the reading and identify any potential discrepancies.
A. Requesting that another nurse check the client's blood pressure in 30 minutes, is not appropriate as the next course of action. If there is a concern about the accuracy of the blood pressure reading, it's best to first verify the reading using another method, such as rechecking in the other arm, before determining the need for further monitoring.
B. Ensuring that the width of the blood pressure cuff is 50% of the client's upper arm circumference, is a standard recommendation for obtaining accurate blood pressure measurements. However, in this scenario, the priority is to verify the accuracy of the initial reading by rechecking in the other arm.
C. Repositioning the client supine and rechecking her blood pressure, may not be necessary at this point unless there are specific indications or concerns about orthostatic hypotension or positional effects on blood pressure. The immediate priority is to verify the accuracy of the initial reading by rechecking in the other arm.

A. The client takes frequent breaks while eating. B. The client adjusts the head of their bed to 90°. C. The client tucks their chin when they swallow. D. The client drinks their thickened juice with a straw,

Correct Answer is D

Explanation

D. Drinking thickened liquids with a straw is not recommended for clients with dysphagia because it can increase the risk of aspiration. Straws may allow liquids to bypass the swallowing mechanism, potentially leading to aspiration pneumonia or choking. Therefore, the nurse should intervene and provide alternative methods for the client to consume thickened liquids, such as using a spoon or a specialized dysphagia cup with a controlled flow rate.
A. Taking frequent breaks while eating is a common strategy for clients with dysphagia to pace themselves during meals and reduce the risk of aspiration. This action is appropriate and does not require intervention from the nurse.
B. Adjusting the head of the bed to 90° is also appropriate for clients with dysphagia, as it helps optimize swallowing mechanics and reduces the risk of aspiration. This position facilitates the passage of food and liquids down the esophagus and into the stomach.

C. Tucking the chin when swallowing is a proper technique to help close off the airway and prevent aspiration during swallowing. This action promotes safe swallowing by directing the bolus of food or liquid toward the esophagus and away from the trachea.

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A nurse is teaching a client how to self-administer daily low-dose heparin injections. Which of the following factors is most likely to increase the client's motivation to learn?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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