A nurse is assisting with teaching a client who has hypertension and a new prescription for a low sodium diet. Which of the following educational methods uses the cognitive domain of learning? (Select All that Apply)

Review strategies to reduce sodium intake.

Ask the client how they are feeling about starting a low sodium diet

Observe the client choose low sodium foods.

Discuss the physiology of hypertension with the client.

Encourage the client to share their thoughts in a support group.

Answer and Explanation

Correct Answer : A,D

A. Review strategies to reduce sodium intake:

This educational method involves providing information and teaching the client specific strategies to reduce sodium intake, such as reading food labels, avoiding high-sodium processed foods, and choosing fresh fruits and vegetables. It engages the cognitive domain of learning as it focuses on acquiring knowledge and understanding of the topic.
B. Ask the client how they are feeling about starting a low sodium diet:

This educational method involves exploring the client's feelings and emotions regarding the low sodium diet. It primarily engages the affective domain of learning, which focuses on attitudes, beliefs, and feelings.
C. Observe the client choose low sodium foods:

This educational method involves observing the client's behavior and actions. It primarily engages the psychomotor domain of learning, which focuses on physical skills and actions.
D. Discuss the physiology of hypertension with the client:

This educational method involves explaining the underlying physiology of hypertension, including factors such as sodium intake, blood pressure regulation, and cardiovascular health. It engages the cognitive domain of learning as it focuses on acquiring knowledge and understanding of the physiological processes involved in hypertension.
E. Encourage the client to share their thoughts in a support group:

This educational method involves providing opportunities for the client to share their thoughts and experiences with others in a support group setting. It primarily engages the affective domain of learning, which focuses on attitudes, beliefs, and feelings.

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Correct Answer is B

Explanation

(A) Diarrhea: Diarrhea is typically associated with gastrointestinal disorders. It involves frequent loose or watery stools, which is not a symptom of respiratory alkalosis. Respiratory alkalosis is a condition that affects the respiratory system, causing an increase in the rate or depth of respiration, leading to a decrease in the concentration of carbon dioxide in the blood.

(B) Hyperventilation: Hyperventilation is indeed a common finding in respiratory alkalosis. When a person hyperventilates, they breathe out more carbon dioxide than their body produces. This lowers the level of carbon dioxide in the blood, leading to a rise in blood pH and causing the blood to become more alkaline - a state known as alkalosis.

(C) Dry skin: Dry skin is not typically associated with respiratory alkalosis. It’s more common in conditions like dehydration or skin disorders. Respiratory alkalosis is a condition that affects the respiratory system and the balance of acids and bases in the blood, not the skin.

(D) Abdominal pain: Abdominal pain is not typically associated with respiratory alkalosis. It’s more common in gastrointestinal disorders. Respiratory alkalosis is a condition that affects the respiratory system and the balance of acids and bases in the blood, not the digestive system.

A. Diltiazem B. Atropine C. Digoxin D. Carvedilol

Correct Answer is B

Explanation

A. Diltiazem: Diltiazem is a calcium channel blocker used to treat high blood pressure and heart rhythm disorders. However, it can further lower the heart rate, which is not desirable in this case as the client’s heart rate is already low.

B. Atropine: This is correct. Atropine is often used to treat bradycardia (low heart rate). It works by blocking the action of the vagus nerve on the heart, which increases the heart rate.

C. Digoxin: Digoxin is used to treat heart failure and atrial fibrillation1. However, one of its side effects is that it can lower the heart rate, so it would not be appropriate to give to a client who already has a low heart rate.

D. Carvedilol: Carvedilol is a beta-blocker used to treat high blood pressure and heart failure1. Like other beta-blockers, it can lower the heart rate, so it would not be appropriate to give to a client who already has a low heart rate.

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A nurse is assisting with teaching a client who has hypertension and a new prescription for a low sodium diet. Which of the following educational methods uses the cognitive domain of learning? (Select All that Apply)

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