A nurse is completing discharge instructions. Which of the following barriers to learning should the nurse interpret as a need to postpone the teaching?

decreased vision but the client is wearing glasses

Hearing loss, hearing aids are functioning well

Language and no access to an interpreter

The client's culture

Answer and Explanation

The Correct Answer is C

A. Decreased vision but the client is wearing glasses: As long as the client is wearing glasses and can see adequately, decreased vision is not a barrier to learning that would require postponing teaching.
B. Hearing loss, hearing aids are functioning well: With functioning hearing aids, the client should be able to hear and understand the discharge instructions, so this is not a barrier to learning that requires postponement.
C. Language and no access to an interpreter: Without an interpreter, the client may not understand the instructions, which is a significant barrier to learning. This requires postponing the teaching until an interpreter is available.
D. The client's culture: While cultural differences can influence learning, they do not inherently create a barrier that necessitates postponing teaching unless they directly affect comprehension or communication.

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Correct Answer is B

Explanation

. A 78-year-old female with osteoporosis who needs assistance performing range of motion exercises and ambulating with a walker: LPNs are capable of assisting with range of motion exercises and ambulation.
B. A 78-year-old patient newly admitted with anemia requiring a blood transfusion: Blood transfusions require close monitoring for reactions and complications, which are within the RN’s scope of practice. This patient requires a higher level of assessment and decision-making skills.
C. A 34-year-old patient post knee arthroscopy who requires reinforced crutch walking: LPNs can assist with crutch walking education and reinforcement.
D. A 44-year-old patient admitted yesterday with pneumonia: LPNs can care for stable patients with pneumonia under the supervision of an RN. The patient's status should be stable or improved to be managed by an LPN.

A. The right task, the right circumstances, the right person, the right communication, and the right supervision B. The right competency, the right staff person, the right scope of practice, the right environment and the right client condition C. The right competency, the right education, the right scope of practice, the right environment and the right client condition D. The right task, the right circumstances, the right person, the right client condition, and the right supervision

Correct Answer is A

Explanation

A. The right task, the right circumstances, the right person, the right communication, and the right supervision: These are the five rights of delegation and supervision, ensuring tasks are appropriately assigned and monitored.
B. The right competency, the right staff person, the right scope of practice, the right environment, and the right client condition: These elements are important but do not represent the five rights of supervision.
C. The right competency, the right education, the right scope of practice, the right environment, and the right client condition: These are not the standard five rights of supervision.
D. The right task, the right circumstances, the right person, the right client condition, and the right supervision: This is close but not entirely accurate. The correct elements are task, circumstances, person, communication, and supervision.

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A nurse is completing discharge instructions. Which of the following barriers to learning should the nurse interpret as a need to postpone the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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