A nurse is working with a client who was recently diagnosed with asthma. During the current session, the nurse teaches the client to administer a bronchodilator by metered-dose inhaler. How should the nurse evaluate the teaching-learning process?
Ask the client to describe the purpose of the medication
Assess the client's respiratory status at the next scheduled visit
Ask the client if they understand how to use the bronchodilator
Directly observe the client using the inhaler to give themselves a dose
The Correct Answer is D
Choice A reason: Asking the client to describe the purpose of the medication is not enough to evaluate the teaching-learning process. The client may know the rationale for the medication, but not how to use it correctly.
Choice B reason: Assessing the client's respiratory status at the next scheduled visit is not enough to evaluate the teaching-learning process. The client may have improved or worsened respiratory status due to other factors, not necessarily related to the use of the bronchodilator.
Choice C reason: Asking the client if they understand how to use the bronchodilator is not enough to evaluate the teaching-learning process. The client may say they understand, but not demonstrate the correct technique.
Choice D reason: Directly observing the client using the inhaler to give themselves a dose is the best way to evaluate the teaching-learning process. The nurse can assess the client's ability to use the inhaler correctly, and provide feedback and reinforcement as needed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Client with difficulty swallowing food and fluids who requires assistance with feeding is not an appropriate assignment for UAP. This client is at risk of aspiration and needs close monitoring and intervention by a licensed nurse.
Choice B reason: Client requiring a colostomy irrigation is not an appropriate assignment for UAP. This is a sterile procedure that involves inserting a catheter into the stoma and instilling fluid to flush out the bowel. This requires advanced skills and knowledge that are beyond the scope of practice of UAP.
Choice C reason: Client requiring vital signs immediately following open heart surgery is not an appropriate assignment for UAP. This client is in a critical condition and needs frequent and accurate assessment and evaluation by a licensed nurse.
Choice D reason: Client requiring a urine specimen collection is the most appropriate assignment for UAP. This is a routine and non-invasive task that can be delegated to UAP under the supervision of a licensed nurse.
Correct Answer is E
Explanation
Choice A reason: Atopic dermatitis is not a likely explanation for the assessment findings, as it is a chronic inflammatory skin condition that causes itching, scaling, and dryness of the skin, usually on the face, neck, and flexural areas.
Choice B reason: Cellulitis is a possible explanation for the assessment findings, as it is a bacterial infection of the skin and subcutaneous tissues that causes warmth, redness, swelling, and pain of the affected area. However, it is not the most likely explanation, as it usually occurs as a result of a break in the skin, such as a wound, insect bite, or ulcer, which is not mentioned in the scenario.
Choice C reason: Seborrheic keratosis is not a relevant explanation for the assessment findings, as it is a benign skin growth that causes brown, black, or tan lesions that have a waxy or scaly appearance, usually on the face, chest, or back.
Choice D reason: Pemphigus is not a plausible explanation for the assessment findings, as it is a rare autoimmune disorder that causes blisters and erosions of the skin and mucous membranes, usually on the trunk, scalp, or mouth.
Choice E reason: Lymphedema is the most likely explanation for the assessment findings, as it is a condition that causes swelling of the arm due to impaired lymphatic drainage after mastectomy surgery. It can also cause warmth, redness, and tenderness of the affected limb.
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