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

Answer and Explanation

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.

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Correct Answer is E

Explanation

Choice A reason: Use of sequential compression devices (SCDs) during times of rest is a helpful intervention to prevent DVT, as it improves the venous return and reduces the stasis of blood in the lower extremities. However, it is not the only or the most effective intervention, as it does not promote the active contraction of the leg muscles.

Choice B reason: Use of abductor pillow while in bed is a necessary intervention to prevent hip dislocation after total hip replacement, as it maintains the alignment and stability of the hip joint. However, it is not a specific intervention to prevent DVT, as it does not enhance the blood circulation or prevent the formation of clots.

Choice C reason: Keeping the heels elevated is a useful intervention to prevent pressure ulcers on the heels, as it reduces the friction and shear forces on the skin. However, it is not a relevant intervention to prevent DVT, as it does not affect the venous flow or prevent the clotting of blood.

Choice D reason: Opioid pain medications as ordered are an important intervention to manage the postoperative pain after total hip replacement, as they provide analgesia and sedation. However, they are not a direct intervention to prevent DVT, as they do not influence the blood coagulation or prevent the thrombus formation. In fact, they may increase the risk of DVT by causing respiratory depression, hypotension, and immobility.

Choice E reason: Early ambulation and leg exercises are the most effective interventions to prevent DVT, as they stimulate the contraction of the leg muscles and improve the blood flow in the veins. They also prevent the pooling and clotting of blood in the lower extremities.

A. Rosacea B. Pediculosis corporis (lice) C. Sarcoptes scabiei (scabies) D. Furuncles E. Impetigo

Correct Answer is C

Explanation

Choice A reason: Rosacea is not a parasitic skin infestation, but a chronic inflammatory skin condition that causes redness, flushing, and bumps on the face.

Choice B reason: Pediculosis corporis is a parasitic skin infestation caused by body lice, but it is not the only one. The question asks for what the student should include in the presentation, not what is the most common or severe type of parasitic skin infestation.

Choice C reason: Sarcoptes scabiei is a parasitic skin infestation caused by scabies mites, which burrow into the skin and cause intense itching, rash, and secondary infections. This is a correct choice to include in the presentation, as scabies is a common and contagious condition that affects people of all ages and backgrounds.

Choice D reason: Furuncles are not a parasitic skin infestation, but a bacterial infection of the hair follicles that causes painful, pus-filled boils on the skin.

Choice E reason: Impetigo is not a parasitic skin infestation, but a bacterial infection of the skin that causes red, oozing, and crusted sores.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with severe osteoarthritis has been treated with total hip replacement. Which intervention will the nurse implement to help protect against the risk for deep venous thrombosis (DVT)?

Correct Answer is E

Explanation

The student nurse is preparing a presentation on parasitic skin infestations. What should the student include in the presentation?

Correct Answer is C

Explanation

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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?

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