The nurse is preparing a teaching plan for a client who is learning to use the incentive spirometer. The nurse identifies the following action as part of the evaluation step in the teaching plan.

Assess the clients pain level

Ask the client to demonstrate use of the incentive spirometer

Develop a short-term goal for the client

Provide instructions on how to use the incentive spirometer

Answer and Explanation

The Correct Answer is B

A. Assess the client's pain level: Assessing the client's pain level is part of the assessment step, not the evaluation step.
B. Ask the client to demonstrate use of the incentive spirometer: Asking the client to demonstrate use of the incentive spirometer is a way to evaluate whether the client has understood and can perform the skill.
C. Develop a short-term goal for the client: Developing a short-term goal is part of the planning step, not the evaluation step.
D. Provide instructions on how to use the incentive spirometer: Providing instructions is part of the implementation step, not the evaluation step.

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Correct Answer is C

Explanation

A. The client will be able to lift more than 50 pounds after abdominal surgery on post-op day 1. This goal is not realistic or safe for a client post-abdominal surgery on day 1.

B. The client will be able to describe ALL the signs and symptoms of COPD. This goal is not realistic or specific enough to be measurable and achievable.

C. The client will be able to tolerate 50% of his meal at lunch. This goal is Specific, Measurable, Achievable, Relevant, and Time-bound (SMART).

D. The client states his wound is improving. This goal is not measurable or specific.

A. A client who has dysphagia B. A client who asks about community resources C. A client who has terminal cancer and requests hospice at home D. A client who wants a priest to visit while they are in the hospital

Correct Answer is A

Explanation

A. A client who has dysphagia: Dysphagia, or difficulty swallowing, is within the scope of practice for speech therapists. They are trained to assess and treat swallowing disorders to ensure safe and effective eating and drinking.
B. A client who asks about community resources: A social worker or case manager would be more appropriate for addressing questions about community resources.
C. A client who has terminal cancer and requests hospice at home: This client should be referred to a hospice care coordinator, not a speech therapist.
D. A client who wants a priest to visit while they are in the hospital: This need should be addressed by the hospital's chaplain service or spiritual care department.

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The nurse is preparing a teaching plan for a client who is learning to use the incentive spirometer. The nurse identifies the following action as part of the evaluation step in the teaching plan.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Determine which of the following goals is a SMART goal

Correct Answer is C

Explanation

A nurse is caring for a group of clients on a medical surgical unit. For which of the following care needs should the nurse initiate a referral for a speech therapist?

Correct Answer is A

Explanation

The nurse is collaborating with the multidisciplinary team. Which of the following statements by the nurse indicates an understanding for interprofessional collaboration?

A nurse is teaching a client who wishes to stop smoking. Which of the following teaching methods uses the affective domain of learning?

The nursing is checking the client's blood sugar after administering insulin to a diabetic client. Which part of the nursing process is being fulfilled?

A nurse on a medical surgical unit has received report on four clients. There is an LVN, RN, and UAP working. Which of the following clients would best to assign to the RN?

Which of the following are the five rights of supervision?

Which client would be best assigned to an RN and not an LPN?

A nurse on a medical-surgical unit is preparing to contact a provider about a client's condition. The nurse notes the client is post op day one with a history of sleep apnea. The nurse should include information about the client in which component of the SBAR report?