A nurse is preparing a teaching plan for a client who is learning crutch walking. The nurse should identify the following in the teaching plan.
Ask the client to demonstrate walking with the crutches.
Assess the client’s readiness to learn.
Develop short-term goals for the client in the teaching plan.
Show the client a video of proper crutch walking.
The Correct Answer is B
Choice A rationale
Asking the client to demonstrate walking with the crutches is part of the evaluation step, not the teaching plan. It assesses the client’s understanding and ability to perform the skill.
Choice B rationale
Assessing the client’s readiness to learn is a crucial step in the teaching plan. It ensures that the client is mentally and emotionally prepared to absorb and apply the information being taught.
Choice C rationale
Developing short-term goals for the client is part of the planning process, but it is not the initial step in the teaching plan. The nurse must first assess the client’s readiness to learn.
Choice D rationale
Showing the client a video of proper crutch walking is a teaching strategy, but it is not the first step in the teaching plan. The nurse must first assess the client’s readiness to learn.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
The route of administration is important, but it is not the only missing element in this prescription.
Choice B rationale
The frequency of administration is missing, which is crucial for ensuring the medication is given at the correct intervals. Without this information, the prescription is incomplete and can lead to medication errors.
Choice C rationale
The patient’s name is essential, but it is not the only missing element in this prescription.
Choice D rationale
The prescriber’s signature is important for validating the prescription, but the frequency of administration is the critical missing element in this context.
Correct Answer is B
Explanation
Choice A rationale
The client properly using a cane and demonstrating a steady gait indicates that the client has good mobility and balance. This is not likely to contribute to falls. Proper use of assistive devices like canes can actually help prevent falls by providing additional support and stability.
Choice B rationale
The client takes a sleeping pill. Many sleeping pills, especially those in the benzodiazepine class, can cause drowsiness, dizziness, and impaired coordination, which significantly increase the risk of falls. These medications can affect the central nervous system, leading to decreased alertness and slower reaction times, making it more likely for the client to fall.
Choice C rationale
The client uses a raised toilet seat. Raised toilet seats are designed to make it easier for individuals to sit down and stand up from the toilet, reducing the risk of falls in the bathroom. This adaptation is generally considered a fall prevention measure rather than a risk factor.
Choice D rationale
The client wears non-skid shoes. Non-skid shoes are designed to provide better traction and reduce the likelihood of slipping. Wearing such shoes is a preventive measure against falls, not a contributing factor.
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