While preparing a teaching plan on a technique for administering insulin, the nurse described what the patient will be able to accomplish after the teaching session. The nurse can document the patient best understood the teaching session by which of the following prior to the patient being discharged from the hospital to home?
The patient verbalized understanding by repeating back the technique.
The patient demonstrated the technique back to the nurse after the training session.
The patient signed a form to document he understood the training session.
The patient was able to repeat facts and knowledge back to the nurse from the training session.
The Correct Answer is B
Choice A reason: Verbalizing understanding by repeating the technique shows comprehension but does not confirm skill. Insulin administration requires practical ability to ensure accuracy and safety. Demonstration is superior, as verbalization alone may miss errors in technique, per patient education and skill-based learning principles.
Choice B reason: Demonstrating the insulin technique back to the nurse confirms understanding and competency, ensuring safe self-administration at home. This return demonstration validates psychomotor skills, critical for correct dosing and preventing complications like hypoglycemia, aligning with effective teaching outcomes, per nursing education standards.
Choice C reason: Signing a form documents acknowledgment but not understanding or skill. Insulin administration requires observed performance to confirm competence. A signature does not verify the ability to perform the technique, risking errors, per patient education and legal documentation standards.
Choice D reason: Repeating facts shows knowledge but not practical ability to administer insulin. Technique requires psychomotor skills, assessed through demonstration. Knowledge alone may not prevent administration errors, making demonstration essential for discharge readiness, per diabetes education and skill validation protocols.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Assuming the LPN should know tracheostomy suctioning from theory dismisses the need for practical experience. Performing procedures safely requires supervised practice, as inexperience risks airway trauma or infection. This response neglects patient safety and professional mentorship, per nursing delegation standards.
Choice B reason: Asking another nurse for help is insufficient, as it does not ensure proper supervision or competency. The RN is responsible for ensuring the LPN’s ability to perform safely. This approach risks inconsistent training and patient harm, lacking structured guidance, per delegation and patient safety protocols.
Choice C reason: Reviewing the manual alone is inadequate for a hands-on procedure like tracheostomy suctioning, which requires supervised practice to ensure competence. Inexperience may lead to errors, such as hypoxia or infection. This response fails to provide direct oversight, per nursing competency and patient safety guidelines.
Choice D reason: Assisting the LPN in performing tracheostomy suctioning ensures patient safety and builds competency. The RN provides direct supervision, preventing errors like airway obstruction or infection, while mentoring the LPN. This aligns with delegation principles, ensuring effective care and professional development, per nursing practice standards.
Correct Answer is D
Explanation
Choice A reason: Checking the blood pressure in 90 minutes delays addressing a potential cause of the elevated reading, such as pain from the fractured femur. Pain activates the sympathetic nervous system, increasing blood pressure. Immediate assessment of pain allows for timely intervention, preventing prolonged stress and ensuring accurate evaluation of the patient’s condition.
Choice B reason: Requesting anti-anxiety medication assumes anxiety is the cause without evidence. Pain from a fractured femur is a more likely trigger for elevated blood pressure, as it stimulates catecholamine release. Administering anxiolytics without assessing pain risks masking symptoms, delaying appropriate pain management, and failing to address the underlying physiological stressor.
Choice C reason: Requesting an antihypertensive is premature without identifying the cause of the elevated blood pressure. Pain from the fracture can cause transient hypertension via sympathetic activation. Treating the blood pressure without addressing pain may lower it unnecessarily, risking hypoperfusion while ignoring the primary issue, per pain management and cardiovascular physiology.
Choice D reason: Asking if the patient is having pain is the priority, as a fractured femur often causes significant pain, elevating blood pressure through sympathetic nervous system activation. Assessing pain guides appropriate analgesia, which may normalize blood pressure. This addresses the likely cause, aligns with patient-centered care, and prevents complications from untreated pain, per nursing assessment protocols.
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