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

Demonstrate how the medication will be taken.

Ask the client for any additional questions.

Recognize sources of confusion for the client.

Inquire about frequency of administration.

Answer and Explanation

The Correct Answer is D

Choice A reason: Demonstrating medication administration teaches, not evaluates understanding. Inquiring about frequency confirms the client’s knowledge of the regimen, ensuring adherence. Demonstration is an instructional method, not an assessment tool, per patient education and medication safety standards in nursing practice.

Choice B reason: Asking for additional questions identifies gaps but does not directly assess understanding of the regimen. Inquiring about frequency evaluates specific knowledge critical for adherence. Questions are supplementary, per patient education and comprehension assessment principles in medication teaching protocols.

Choice C reason: Recognizing confusion is part of teaching but not a direct evaluation of understanding. Inquiring about frequency tests retention of key information, ensuring safe administration. Confusion assessment is indirect, per medication education and patient comprehension standards in nursing care.

Choice D reason: Inquiring about frequency of administration directly evaluates the client’s understanding of the prescription, confirming knowledge of dosing intervals critical for adherence and safety. This targeted question assesses retention, guiding further teaching if needed, per patient education and medication safety protocols in nursing practice.

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Correct Answer is C

Explanation

Choice A reason: Measuring body weight monitors nutritional progress but is not critical before starting feedings. Bowel sounds confirm gastrointestinal motility, ensuring safe feeding administration. Weight can be assessed later, per enteral nutrition and malnutrition management protocols in nursing care.

Choice B reason: Observing for fluid volume deficit is important but secondary, as dehydration is being addressed via feedings. Bowel sounds confirm peristalsis, preventing aspiration or obstruction. Fluid status can be monitored ongoing, per enteral feeding safety and dehydration management standards in critical care.

Choice C reason: Confirming bowel sounds is critical before starting tube feedings, as absent sounds indicate ileus, risking aspiration or intolerance. This ensures safe administration, preventing complications in malnourished, dehydrated clients. It aligns with enteral nutrition safety and gastrointestinal assessment protocols in nursing practice.

Choice D reason: Evaluating swallowing is irrelevant, as tube feedings bypass oral intake. Bowel sounds ensure gastrointestinal readiness for feedings. Swallowing assessment is for oral nutrition, not enteral feeding, per enteral nutrition and malnutrition management standards in nursing care for dehydrated clients.

A. An antibiotic, to be administered every 6 hours starting at 0900. B. An analgesic topical patch, to be replaced every 24 hours at 0900. C. A diuretic, to be administered every 12 hours, at 0900 and 2100. D. An antianxiety agent, to be administered every day at 0900.

Correct Answer is A

Explanation

Choice A reason: Administering the antibiotic first ensures timely treatment of infection, as delays can reduce efficacy. Antibiotics target bacterial cell walls or protein synthesis, requiring consistent blood levels to prevent resistance. A 6-hour schedule is time-sensitive, prioritizing it over less urgent medications like analgesics, diuretics, or antianxiety agents at 0900.

Choice B reason: The analgesic topical patch, replaced every 24 hours, provides steady pain relief via transdermal absorption. Its long duration makes timing less critical than an antibiotic, which requires precise intervals to maintain bactericidal levels. Delaying the patch slightly does not risk treatment failure, unlike antibiotics, making this lower priority.

Choice C reason: The diuretic, given every 12 hours, promotes fluid excretion, affecting renal sodium reabsorption. Its schedule allows some flexibility compared to a 6-hour antibiotic dose, which is critical for infection control. Delaying the diuretic slightly poses less risk than missing an antibiotic window, which could allow bacterial proliferation, so this is less urgent.

Choice D reason: The antianxiety agent, given daily, modulates GABA receptors to reduce anxiety but lacks the time urgency of an antibiotic. Missing a 6-hour antibiotic dose risks subtherapeutic levels, promoting resistance. The antianxiety agent’s daily schedule allows flexibility, making it less critical to administer first compared to infection control needs.

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The nurse is 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

A client who is admitted for malnutrition and severe dehydration receives a prescription for liquid feedings through a feeding tube. After the feeding tube is inserted and placement confirmed, which assessment is most important for the nurse to complete before starting the feeding?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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