The nurse in providing teaching to a client who receives a new medication prescription. Which action should the nurse use to evaluate the client's understanding?

Inquire about frequency of administration.

Recognize sources of confusion for the client.

Ask the client for any additional questions.

Demonstrate how the medication will be taken.

Answer and Explanation

The Correct Answer is D

A. Inquire about frequency of administration: Asking about frequency checks for specific knowledge but does not evaluate comprehensive understanding or the client’s ability to correctly apply the information.

B. Recognize sources of confusion for the client: Identifying confusion helps guide teaching, but it does not directly assess whether the client has understood or can perform the task correctly.

C. Ask the client for any additional questions: This encourages discussion but does not actively measure the client’s retention or ability to use the information effectively.

D. Demonstrate how the medication will be taken: Having the client demonstrate or explain how they will take the medication provides direct evidence of learning and understanding. This return demonstration is the most effective method for evaluating client comprehension.

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Correct Answer is C

Explanation

A. "Wash your hands after each administration of eye drops.": Hand hygiene is essential, but it should occur before and after administration to prevent contamination. It is important but not the most critical teaching point related to proper drop technique.

B. "Squeeze your eye closed after administering the drops.": Closing the eye gently may help retain the medication, but excessive squeezing can force the medication out. It is a secondary measure compared to proper drop application technique.

C. "Do not allow the dropper bottle to touch the eye.": This prevents contamination of the medication and potential eye injury. Avoiding contact between the dropper and the eye is essential for infection control and maintaining sterility.

D. "Administer the medication directly on the cornea.": Eye drops should be placed in the conjunctival sac, not directly on the cornea, to reduce discomfort and prevent corneal irritation or injury.

A. Determine pulse pressure. B. Check for neck vein distention. C. Auscultate heart sounds. D. Measure oxygen saturation

Correct Answer is D

Explanation

A. Determine pulse pressure: Pulse pressure may provide insight into cardiovascular status but does not directly address the immediate respiratory concern suggested by the use of accessory muscles.

B. Check for neck vein distention: Jugular vein distention could indicate cardiac dysfunction, but the priority should be to assess the client's oxygenation status when signs of respiratory effort are observed.

C. Auscultate heart sounds: While heart sounds may be part of a broader assessment, they do not provide immediate information about oxygenation or respiratory compromise.

D. Measure oxygen saturation: Accessory muscle use indicates increased work of breathing or possible respiratory distress. Measuring oxygen saturation is the most direct and immediate way to evaluate the client’s oxygenation status and guide urgent interventions.

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The nurse in providing teaching to a client who receives a new medication prescription. Which action should the nurse use to evaluate the client's understanding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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