An older adult client is preparing for discharge following a myocardial infarction (MI). The nurse is reviewing the prescribed cardiac diet and exercise instructions with the client. Which action should the nurse implement while teaching?

Provide handouts written at a 12th grade reading level.

Use background music to promote relaxation.

Turn on overhead lights while giving instructions.

Stand behind the client to avoid intimidation.

Answer and Explanation

The Correct Answer is C

A. Provide handouts written at a 12th grade reading level: Educational materials should be written at an appropriate reading level for the client, typically 6th to 8th grade for older adults, to promote understanding. Handouts at a 12th-grade level might be too complex.

B. Use background music to promote relaxation: While this could potentially help reduce anxiety for some people, it may also be distracting for others during important health teaching. The priority is clear and focused communication.

C. Turn on overhead lights while giving instructions: Proper lighting is essential, especially for older adults who may have visual impairments. Bright, direct lighting can help ensure the client clearly sees instructional materials and feels more comfortable during teaching.

D. Stand behind the client to avoid intimidation: Standing behind the client can be intimidating and might make the interaction feel less personal. It's important to engage the client in a way that encourages open communication, typically by sitting or standing at eye level.

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Correct Answer is B

Explanation

A. Notify the charge nurse the client will need assignment to the COVID-19 specified area of the facility: This is appropriate, but not the most immediate priority. Isolation must occur first to prevent viral spread before formal reassignment can be made.

B. Isolate the client from other clients, family, and healthcare workers not wearing proper PPE: This is the most urgent infection control measure. Isolation limits transmission risk while awaiting test results and is the first step in managing suspected COVID-19 cases.

C. Explain to the client to inform others that they may have been potentially exposed in the last 14 days: This is part of public health tracing but is not the nurse’s immediate clinical priority when caring for a symptomatic client.

D. Update the client and family regarding the COVID-19 vaccines that are available: Vaccine education is important for prevention but not urgent during symptomatic evaluation and isolation of a potentially infectious individual.

A. Request a spiritual advisor's consult. B. Encourage viewing of the body to accept the death. C. Provide support of the spouse's feelings. D. Ask the relatives about how the spouse is coping.

Correct Answer is C

Explanation

A. Request a spiritual advisor's consult: This may be helpful later but is not the nurse’s first responsibility. The immediate need is to support the spouse emotionally through the initial shock.

B. Encourage viewing of the body to accept the death: While this may eventually assist with acceptance, it can feel rushed or harsh if suggested before acknowledging the spouse’s current emotional state.

C. Provide support of the spouse's feelings: Denial is a normal initial reaction to grief. Supporting the spouse’s emotional response is the most appropriate and immediate nursing action.

D. Ask the relatives about how the spouse is coping: This shifts focus away from the grieving spouse, who is the primary concern at this moment and requires direct support.

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An older adult client is preparing for discharge following a myocardial infarction (MI). The nurse is reviewing the prescribed cardiac diet and exercise instructions with the client. Which action should the nurse implement while teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing to obtain a rapid coronavirus (COVID-19) test for a client who was exposed to the virus eight days ago. The client is experiencing fever, cough, and shortness of breath. Which action is most important for the nurse to take?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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