The nurse is caring for an elderly male client, who will be discharged from the hospital with new medications.
The nurse begins discharge teaching about the new medications.
The patient seems to be disinterested and states, "Please share this information with my wife.
She knows all my medications.”. What action would the nurse take?
Remind the patient that he needs to be in charge of knowing about his own medications as it is not his wife's responsibility.
Document the patient stated "Please share all this information with my wife.
Continue to teach the patient as he is the one being discharged and avoid teaching the wife.
Ask the patient, "Why does your wife know about your medications instead of you?".
The Correct Answer is C
Choice C rationale:
In this situation, the nurse should continue to teach the patient about his medications despite his disinterest. It is essential for the patient to be knowledgeable about his own medications, as he will be responsible for taking them once discharged. While involving family members in the teaching process can be beneficial, the primary responsibility lies with the patient. Documenting the patient's request is also important for the record, but it does not replace the need for the patient to be informed about his medications.
Choice A rationale:
Reminding the patient of his responsibility is a good initial approach, but it should be followed by continued teaching to ensure the patient understands his medications thoroughly.
Choice B rationale:
Documenting the patient's request is important, but it does not address the patient's lack of interest in learning about his medications. The nurse should still provide education to the patient.
Choice D rationale:
Asking the patient why his wife knows about his medications is confrontational and may not be well-received by the patient. It does not address the primary issue, which is the patient's disinterest in learning about his medications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice B rationale:
Isometric exercises involve contracting muscles without changing the length of the muscle or joint angle. In this case, squeezing the gluteal muscles tightly constitutes an isometric exercise. Isometric exercises are often used in rehabilitation settings to strengthen specific muscle groups without putting too much strain on the joints.
Choice A rationale:
Option A describes a range of motion exercise involving the wrist, which is not an isometric exercise. Isometric exercises focus on static muscle contractions, not dynamic movements like circular motions.
Choice C rationale:
Lifting a 5-pound weight to increase arm strength involves isotonic exercise, not isometric exercise. Isotonic exercises involve muscle contractions with movement and changing muscle length, unlike isometric exercises, where muscle length remains constant.
Choice D rationale:
Bending the knee up to the chest is an example of a range of motion exercise and does not constitute an isometric exercise. Range of motion exercises involve moving joints through their full extent, but isometric exercises involve static muscle contractions without joint movement.
Correct Answer is D
Explanation
Choice A rationale:
Applying ankle restraints but leaving the wrists unrestrained is not a balanced approach. Restraints should only be used when necessary and should be applied correctly following the healthcare facility's policies and guidelines. Applying restraints to one part of the body while leaving another unrestrained can lead to injuries and is not a safe practice.
Choice B rationale:
Tying a double knot that is difficult to undo can be dangerous in emergency situations. Restraints should allow for quick release in case of emergencies, ensuring patient safety. Difficult-to-undo knots can delay the removal of restraints, leading to potential harm to the patient.
Choice C rationale:
Tying a slip knot to the side rails of the bed is unsafe and against restraint protocols. Slip knots can tighten when pulled, increasing the risk of injury to the patient. Restraints should be applied to designated areas and never tied to movable parts of the bed or other objects in the room.
Choice D rationale:
Checking on the patient frequently is the most appropriate action when a patient is in restraints. Regular monitoring ensures the patient's safety and well-being, assesses their comfort, and allows for prompt response to any signs of distress or discomfort. Frequent checks also help in preventing complications associated with immobilization, such as pressure ulcers and impaired circulation.
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