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 C

Explanation

A. Electromyography: Electromyography assesses electrical activity in muscles and is used to diagnose neuromuscular disorders. It is not relevant to evaluating bleeding tendencies or pinpoint skin spots, which suggest a hematologic issue like thrombocytopenia.

B. Skin biopsy: A skin biopsy might help diagnose dermatologic conditions, but it is invasive and not the initial step when systemic drug side effects like petechiae are suspected. The presence of red spots suggests a possible blood disorder requiring laboratory confirmation first.

C. Complete blood count: A CBC is essential to evaluate for thrombocytopenia, a known adverse effect of zidovudine. Pinpoint red spots, or petechiae, are often linked to low platelet counts, which require prompt detection and management to prevent serious complications.

D. Allergy test: Allergy testing identifies hypersensitivity reactions, typically associated with rashes or itching. Petechiae are not commonly caused by allergic reactions but are more indicative of blood abnormalities, making this test less immediately relevant.

A. Supine positioning. B. Verbal reassurance. C. Physical soothing. D. Simultaneous injections.

Correct Answer is D

Explanation

A. Supine positioning: While positioning may help comfort the child, it does not directly reduce the pain associated with vaccinations. The focus should be on strategies that address pain management during the procedure.

B. Verbal reassurance: Verbal reassurance is helpful for reducing anxiety, but it may not be enough to reduce the pain during the injection. The toddler may not fully understand verbal comfort in a way that would minimize discomfort.

C. Physical soothing: Physical soothing, such as holding or rocking the child, may help calm the toddler, but it does not directly reduce the pain associated with receiving multiple injections. It can, however, provide emotional comfort.

D. Simultaneous injections: Administering multiple injections at once (if prescribed and safe to do so) can reduce the overall duration of pain, as it minimizes the number of needle sticks. This approach allows for the vaccines to be given quickly, reducing the time the child is experiencing discomfort.

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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

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