The nurse wants to evaluate the success of teaching the client a psychomotor skill. The best technique to use to evaluate this type of learning is to have the client:

answer oral questions.

join a discussion group.

answer a written test.

perform a return demonstration.

Answer and Explanation

The Correct Answer is D

D. This is the most appropriate technique for evaluating the success of teaching a client a psychomotor skill. A return demonstration involves the client independently performing the skill they have been taught while the nurse observes. This allows the nurse to assess the client's ability to execute the skill correctly, including aspects such as technique, coordination, and safety precautions. Additionally, the nurse can provide immediate feedback and correction if necessary, enhancing the client's learning experience.
A. While answering oral questions can assess the client's understanding of theoretical or conceptual knowledge, it may not effectively evaluate their ability to perform a psychomotor skill. Psychomotor skills involve physical actions and coordination, which cannot be adequately assessed through verbal responses alone.
B. Participating in a discussion group can facilitate sharing of experiences and perspectives among clients, but it may not be the most effective method for evaluating the client's ability to perform a psychomotor skill. Discussion groups are more suitable for exploring attitudes, beliefs, and understanding of concepts rather than assessing physical skills.
C. Written tests typically assess cognitive understanding and retention of information rather than the ability to perform psychomotor skills. While written tests can evaluate knowledge about the steps involved in a skill, they do not directly assess the client's ability to execute the skill itself.

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Correct Answer is B

Explanation

B. Tachycardia (elevated heart rate) can be a sign of various underlying conditions, including pain, anxiety, or cardiovascular compromise. While tachycardia may occur as a response to stress or pain associated with the catheter insertion procedure, it can also indicate complications such as hemorrhage, cardiac dysrhythmias, or pulmonary embolism, which require prompt evaluation and intervention.
A. While this can be concerning, it is not typically directly related to complications of a subclavian central venous catheter insertion unless there is evidence of arterial injury or thrombosis.
C. Bibasilar crackles are abnormal lung sounds that can indicate fluid accumulation in the lungs, such as pulmonary edema or pneumonia. However, this may not be directly related to the subclavian central venous catheter insertion itself.
D. Headache is a non-specific symptom that can have numerous causes, including stress, dehydration, or tension.

A. On left side, with the knees bent B. With the head of the bed elevated 30-45 degrees C. On the right side, with a pillow behind the back D. With the head of the bed elevated 15 degree

Correct Answer is B

Explanation

B. Elevating the head of the bed to 30-45 degrees is the recommended position for administering enteral feeding to reduce the risk of aspiration. This semi-upright position helps promote gastric emptying and reduces the likelihood of reflux or regurgitation of the feed into the lungs. It also allows for better tolerance of the feeding and minimizes the risk of complications.
A. Positioning the client on the left side with the knees bent is not typically recommended for enteral feeding. This position may increase the risk of aspiration, especially if the client has impaired swallowing or if there are issues with gastric emptying. It may also not be the most comfortable or practical position for administering enteral feeding.
C. Positioning the client on the right side with a pillow behind the back is not a standard practice for administering enteral feeding. This position may not provide optimal access for administering the feed, and it does not offer the benefits of head elevation to reduce the risk of aspiration.

D. Elevating the head of the bed to only 15 degrees may not provide sufficient upright positioning to reduce the risk of aspiration during enteral feeding. While it is better than lying completely flat, a higher degree of elevation (30-45 degrees) is generally recommended for optimal safety and effectiveness of enteral feeding.

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The nurse wants to evaluate the success of teaching the client a psychomotor skill. The best technique to use to evaluate this type of learning is to have the client:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who just had a subclavian central venous catheter inserted. Which symptom should the nurse recognize as setting a priority for this client's care?

Correct Answer is B

Explanation

A nurse is about to administer a bolus enteral feeding to a client who is on bedrest. How does the nurse position the client during the feeding?

Correct Answer is B

Explanation

A nurse who works effectively with clients who are dying recognizes that

The nurse caring for clients recognizes that there are several areas of potential liability in nursing practice. These include: (SELECT ALL THAT APPLY)

A client requires a type of therapy for the preservation, enhancement, or restoration of movement. Which abbreviation would describe this type of discipline?

The nurse recognizes that which behavior would not be considered a sign of grief resolution in a client whose partner died a year ago? The client

The nurse recognizes that the appropriate rationale for using an IV infusion pump for a client is to:

A client is admitted with hypovolemia due to severe bleeding. Which Intravenous fluid does the nurse anticipate using to replace fluid losses?

How can teaching be best provided to a client who has a different primary language than the nurse?

What is the most important nursing intervention to increase sleep quality in the acute care hospital setting?