A nurse is teaching a patient about heart failure. Which environment will the nurse use?

A darkened, quiet room

A well-lit, ventilated room

A group room for 10 to 12 patients with heart failure

A private room at 85° F temperature

Answer and Explanation

The Correct Answer is B

A. A darkened, quiet room may not provide an optimal learning environment as adequate lighting and ventilation are important for clarity and focus during educational sessions.
B. A well-lit, ventilated room is the ideal environment for teaching. Proper lighting helps the patient focus, and good ventilation ensures comfort during the teaching process.
C. A group room for 10 to 12 patients may be too large for effective one-on-one teaching, especially for a topic like heart failure that requires personalized instruction.
D. A private room at 85° F may be uncomfortably warm and not conducive to learning. The room temperature should be comfortable but not excessively warm.

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Correct Answer is B

Explanation

A. Fixed lymph nodes are typically indicative of infection or malignancy. Healthy nodes are not fixed to the surrounding tissue.
B. Healthy lymph nodes are usually discrete (distinct and separated from surrounding tissue), mobile (moveable), and have a rubbery consistency. These are normal findings in a healthy patient.
C. Nonpalpable lymph nodes are normal and often not felt during an exam, especially if they are small or deeply located.
D. Large, firm, and fixed lymph nodes could be a sign of infection or a more serious condition such as cancer and would not be typical in a healthy patient.

A. The nurse fosters the patient's denial of need for long-term rehabilitation. B. The nurse assists the patient to make choices from the menu for mealtimes. C. The nurse requires the patient to stay in the wheelchair for an hour after eating. D. The nurse uses warmed blankets and gentle soaps when bathing the patient. E. The nurse acknowledges the patient's frustration and anger about the disability.

Correct Answer is ["B","D","E"]

Explanation

B. Demonstrating caring behavior by involving the patient in decision-making fosters autonomy and respect.
D. Using comfort measures like warm blankets and gentle soaps shows attention to the patient's physical and emotional comfort.
E. Acknowledging the patient's emotional response (frustration and anger) demonstrates empathy and validation of the patient's feelings.
A. Fostering denial of rehabilitation is not a caring behavior, as it prevents the patient from realistically addressing their needs.
C. Requiring the patient to stay in a wheelchair without considering their comfort or needs is not a caring or empathetic action.

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A nurse is teaching a patient about heart failure. Which environment will the nurse use?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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