A client diagnosed with acute kidney injury has an elevated blood urea nitrogen (BUN) and is experiencing difficulty remembering information. Which interventions should the nurse implement when communicating with this client? (Select all that apply)
Explain treatments in non-technical language
Give simple instructions
Include the family in discussions related to care
Use as many lengthy teaching methods as available to provide discharge instructions
Correct Answer : A,B,C
Choice A reason: Using non-technical language helps ensure that the client can understand the information being communicated, especially when they have difficulty remembering details due to elevated BUN levels affecting cognitive function.
Choice B reason: Giving simple instructions makes it easier for the client to follow and retain the information, reducing the likelihood of confusion or errors in their care routine.
Choice C reason: Including the family in discussions related to care helps ensure that the client has support and that the family members understand the necessary steps for the client's treatment and recovery. This approach also helps reinforce the information for the client.
Choice D reason: Lengthy teaching methods may overwhelm the client, especially when they are experiencing difficulty remembering information. It is more effective to provide concise and clear instructions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Administering an antipyretic to reduce the fever and notifying the primary health care provider are the priority actions. A rapid rise in temperature in a client with multiple myeloma receiving chemotherapy could indicate a serious infection, which requires prompt medical attention.
Choice B reason: Assessing the color and content of the urine specimen for urinalysis is important but is not the immediate priority. The rapid rise in temperature is a more urgent concern.
Choice C reason: Noting the consistency of respiratory secretions and obtaining a specimen for culture is important but not the immediate priority. The primary concern is addressing the fever and notifying the healthcare provider.
Choice D reason: Comparing prior vital signs and continuing to monitor every hour is necessary but not the immediate priority. Immediate action is required to address the fever and potential infection.
Correct Answer is ["A","B","D"]
Explanation
Choice A reason: Cigarette or tobacco smoke is a major trigger for asthma attacks. Inhaling smoke irritates the airways, leading to inflammation and bronchoconstriction, making it harder for asthmatic individuals to breathe.
Choice B reason: Air pollution, including smog, industrial emissions, and vehicle exhaust, can exacerbate asthma symptoms. Pollutants in the air can trigger airway inflammation and constriction, leading to asthma attacks.
Choice C reason: Physical activity is not a common trigger for moderate persistent asthma if managed properly. Regular exercise is generally encouraged for overall health and can help improve lung function. However, clients should use their prescribed inhaler and follow their asthma action plan to manage exercise-induced asthma symptoms.
Choice D reason: Certain cough products, especially those containing ingredients like menthol or chemicals, can irritate the airways and trigger asthma symptoms. It's important for clients with asthma to avoid using over-the-counter cough products without consulting their healthcare provider.
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