The nurse is providing discharge instructions to a patient with memory loss after a head injury. What is the most appropriate action of the nurse?
Teach the patient and a responsible family member at the same time
Teach the patient using simple terminology and a louder tone of voice.
Teach the patient the most important information first followed by lesser facts. b.
Teach the patient immediately before discharge so the patient will remember it.
The Correct Answer is A
A. Teaching both the patient and a responsible family member ensures that someone else can assist the patient with remembering the instructions and help reinforce the information after discharge. This approach is most appropriate for patients with memory loss.
B. Using simple terminology is helpful, but speaking in a louder tone of voice is not necessarily required unless the patient has hearing difficulties, which isn’t specified here.
C. Prioritizing important information is crucial, but it’s also important that the family member is involved in the learning process to ensure the patient receives support in remembering.
D. Teaching immediately before discharge is not ideal because the patient may be stressed, distracted, or fatigued, making it harder to retain important information. Spacing out teaching and repetition is more effective.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Determine the patient's educational background and learning abilities is important but should be addressed after assessing the patient's comfort level. It is crucial to first ensure that the patient feels comfortable with the new colostomy before moving forward with further education.
B. Have the patient watch a video that demonstrates how to perform colostomy care may be useful, but it’s important to first assess the patient's emotional readiness to learn and their comfort level with the procedure.
C. Assess the patient's level of comfort with looking at and caring for the colostomy is the correct first step. It’s essential to first assess how the patient feels about the colostomy and determine any emotional or psychological barriers that might need to be addressed before teaching the technical aspects of care.
D. Identify a responsible family member to reinforce colostomy care teaching is important, but the first action should focus on the patient’s readiness and comfort with performing the care themselves.
Correct Answer is ["33"]
Explanation
\( Flow rate (gtt/min)=60mL/hour×drop factor (gtt/mL)\)
Given:
Rate = 200 mL/hour
Drop factor = 10 gtt/mL
\(Flow rate=(200×10)/60=2000/60=33.3 gtt/min\)
Answer: 33gtt/min (roundedtothenearestwholedrop)
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