A nurse is planning teaching for a client who will be discharged with a central venous access device. Which of the following actions should the nurse plan to take first?
Make a priority list of information the client should learn.
Determine the client's learning needs.
Select a visual method to reinforce verbal teaching for the client.
Obtain written information to give the client.
The Correct Answer is B
Rationale
A. Make a priority list of information the client should learn: Creating a priority list is important for organizing teaching content, but it should follow an assessment of the client’s specific learning needs. Prioritization without understanding the client’s knowledge gaps may result in irrelevant or ineffective teaching.
B. Determine the client's learning needs: Assessing the client’s learning needs is the first step in planning effective education. This allows the nurse to identify what the client already knows, what they need to learn, and any barriers to learning, ensuring that subsequent teaching is individualized and relevant.
C. Select a visual method to reinforce verbal teaching for the client: Choosing teaching methods is important for reinforcing learning, but it should be done after determining the client’s needs and preferred learning style. Methods are most effective when tailored to the client’s assessed needs.
D. Obtain written information to give the client: Providing written materials supports retention and understanding, but it should follow an assessment of the client’s needs to ensure the content is appropriate and comprehensible. Giving generic materials without assessment may not address the client’s specific concerns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale
A. Dry mucous membranes: Dry mucous membranes are typically a manifestation of dehydration or hyperglycemia, not hypoglycemia. They indicate fluid deficit rather than low blood glucose levels.
B. Thirst: Excessive thirst is associated with hyperglycemia and fluid loss due to osmotic diuresis. It is not a common symptom of hypoglycemia and does not indicate low blood glucose.
C. Polyuria: Polyuria occurs with hyperglycemia when the kidneys excrete excess glucose in the urine. It is not a feature of hypoglycemia and does not help identify low blood sugar episodes.
D. Shakiness: Shakiness or tremors is a classic manifestation of hypoglycemia. It results from adrenergic stimulation as the body responds to low blood glucose levels, prompting sympathetic nervous system activation and symptoms such as sweating, palpitations, and anxiety.
Correct Answer is B
Explanation
Rationale
A. Ask the client to occlude one ear with a finger: Occluding one ear is part of the Rinne test, not the Weber test. The Weber test assesses lateralization of sound and does not require the client to block either ear initially.
B. Place a vibrating tuning fork against the midline vertex of the client's head: In the Weber test, the vibrating tuning fork is placed on the midline of the skull, usually the forehead or vertex. This allows the nurse to assess whether sound is heard equally in both ears or lateralizes to one, helping differentiate between conductive and sensorineural hearing loss.
C. Whisper words for the client to identify: Whispered voice testing evaluates the client’s ability to hear and repeat words, but it is a separate assessment from the Weber test and does not determine lateralization.
D. Have the client repeat a phrase spoken by the nurse while the nurse's mouth is hidden: This describes the whispered voice or speech discrimination test, not the Weber test. The Weber test focuses on bone conduction and sound lateralization rather than speech comprehension.
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