A nurse receives a telephone prescription from a provider for a client who is experiencing pain. Which of the following responses should the nurse make?

"Let me clarify that you want the medication given qid, correct?"

"Will you please spell the name of that medication for me?"

"I will sign my name now and leave a space for you to sign your name.”

"Let me provide you with the client's medical record number for identification."

Answer and Explanation

The Correct Answer is A

A. "Let me clarify that you want the medication given gid, correct?": When receiving a telephone prescription, it is essential to clarify any unclear aspects of the order, such as the dosage frequency. This ensures that the prescription is accurately understood and implemented and helps prevent medication errors.

B. "Will you please spell the name of that medication for me?": Although confirming the medication name is important, it is more critical to clarify the specific directions for administering the medication, such as the frequency, rather than spelling.

C. "I will sign my name now and leave a space for you to sign your name.": Offering to leave a space for the provider's signature is standard practice. However, it's not the most critical communication safety check during the verbal order itself.

D. "Let me provide you with the client's medical record number for identification.": While important for ensuring correct patient identification, the nurse should first focus on accurately obtaining the medication prescription and other critical details before providing identification information.

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Correct Answer is C

Explanation

A. Show the client a video about self-administration of insulin: Watching a video is a passive learning that primarily engages the cognitive domain. It provides information but does not allow the client to practice hands-on skills, which are needed for psychomotor learning.

B. Assist the client in discussing their feelings about having diabetes mellitus: Discussing feelings pertains to the affective domain, which focuses on emotions, attitudes, and values. It does not involve physical skills or actions, so it is not psychomotor learning.

C. Observe the client practice self-monitoring of blood glucose levels: Psychomotor learning involves acquiring skills through practice and demonstration. Observing the client perform self-monitoring of blood glucose levels allows the nurse to assess their ability to carry out the task and refine the skill through repetition.

D. Ask the client to attend a class about following a diabetic diet: Attending a class is more aligned with the cognitive domain, where the focus is on gaining knowledge. This action does not involve practicing physical skills necessary for psychomotor learning.

A. Cilent rates pain as 8 on a scale of 0 to 10 in their left knee B. Client reports no relief with pain medications C. Left knee wound is 3 cm by 2 cm with 1 cm depth D. Wound bed vascular with some approximation of the edges E. Mild purulent drainage noted

Correct Answer is ["A","B","C","E"]

Explanation

Rationale:

Client rates pain as 8 on a scale of 0 to 10 in their left knee. Client reports no relief with pain medications. The client’s pain has worsened from 4/10 despite pain medication, indicating the current pain management approach is ineffective, and the wound may not be healing as expected.
Mild purulent drainage noted: The presence of purulent drainage is a sign of infection, further indicating that the wound vac therapy has not been successful in preventing or managing infection at the wound site.
Left knee wound is 3 cm by 2 cm with 1 cm depth, compared to 2 cm by 2 cm with 1 cm depth one week ago: The increase in wound sizefrom 2cm by 2 cm to 3 cm by 2 cm suggests that the wound vac therapy is not promoting healing effectively, leading to a failure of wound closure.

Rationale for Incorrect Choices:

Wound bed vascular with some approximation of the edges: The wound bed being vascular with some approximation of the edges indicates that there is some healthy tissue and the edges of the wound are coming together. This suggests that some healing is occurring, although it may be slower than expected.

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A nurse receives a telephone prescription from a provider for a client who is experiencing pain. Which of the following responses should the nurse make?

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Naxlex Comprehensive Predictor Exams

A nurse is using the domains of learning to provide teaching to a client who has diabetes mellitus. Which of the following actions should the nurse take to utilize psychomotor learning?

Correct Answer is C

Explanation

Correct Answer is ["A","B","C","E"]

Explanation

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