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 B

Explanation

A. Assess peripheral oxygen saturation: While evaluating oxygenation is important in altered mental status, it is not the priority after restraints have been applied. Oxygen saturation may contribute to confusion, but neurological assessment is more directly relevant.

B. Determine baseline neurologic status: Establishing a neurological baseline is crucial after a sudden change in consciousness and behavior. It helps monitor for further deterioration or improvement and guides decisions about restraint necessity and care interventions.

C. Schedule a sitter around the clock: A sitter may be needed, but this decision should be based on a full assessment of the client’s condition and risk factors. It is not the first priority immediately after application of restraints.

D. Administer an IV anxiolytic medication: Medication may be considered later if the behavior persists or worsens, but it must be based on assessment findings and provider orders. The initial focus should be on identifying the underlying cause of the behavioral change.

A. Wait for notification that the system has been rebooted, B. Notify information services department of the situation. C. Print electronic medical record (EMR) from backup server. D. Identify information as late entry in the record.

Correct Answer is B

Explanation

A. Wait for notification that the system has been rebooted: Waiting passively may delay documentation and care coordination. Immediate action should be taken to report the issue and initiate contingency plans.

B. Notify information services department of the situation: Reporting the shutdown ensures that technical staff are aware of the problem and can begin troubleshooting. Prompt notification is essential to minimize disruption and initiate recovery protocols.

C. Print electronic medical record (EMR) from backup server: Accessing backup records may be useful once the issue is addressed, but printing should not be the first action before the issue is officially reported and assessed by IT.

D. Identify information as late entry in the record: This action is appropriate once the system is restored. However, it is not the initial step in responding to the unexpected system failure.

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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

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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