A client who had emergency gallbladder surgery yesterday is getting ready to be discharged.
The nurse knows that the client speaks very little English. When teaching wound care, which method should the nurse use to evaluate the client's understanding of self-care at home?
Have the client demonstrate prescribed wound care.
Provide written instructions in the client's native language.
After each instruction, ask the client if he/she understands.
Have an interpreter repeat the wound care instructions.
The Correct Answer is A
The best way to evaluate the client’s understanding of self-care at home is to have the client demonstrate prescribed wound care.
This allows the nurse to directly observe the client’s ability to perform the necessary tasks and provide feedback and clarification as needed.
Choice B, providing written instructions in the client’s native language, may be helpful but does not allow the nurse to directly evaluate the client’s understanding.
Choice C, asking the client if he/she understands after each instruction, may not be effective if the client is not comfortable expressing confusion or misunderstanding.
Choice D, having an interpreter repeat the wound care instructions, may be helpful but still does not allow for direct observation of the client’s ability to perform the necessary tasks.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Guided imagery involves creating a specific imagined reality for yourself.
These techniques can be self-taught or guided by a professional.
The more you’re able to use your imagination and engage your senses, the greater the benefits 1.
Choice B is not the answer because motivational phrases may not be as effective as positive external places in reducing chronic pain through guided imagery.
Choice C is not the answer because tranquil sounds may not be as effective as positive external places in reducing chronic pain through guided imagery.
Choice D is not the answer because emotional reflection may not be as effective as positive external places in reducing chronic pain through guided imagery.
Correct Answer is C
Explanation
When checking the restraints, the most important action for the nurse to take is to assess capillary refill distal to the restraints.
This helps to ensure that the restraints are not too tight and that blood flow to the extremities is not compromised.
Choice B, verifying that the restraints can be quickly released, is important for safety but does not directly address the client’s physical well-being.
Choice D, replacing the nasogastric tube, may also be necessary but is not the most important action in this situation.
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