A nurse is preparing to teach a client about a new medication. Which of the following strategies should the nurse plan to use?(Select All that Apply.)

Provide educational material written at a 9th grade reading level.

Begin the session with the least important information.

Use active listening methods during the session.

Ask the client open-ended questions during the session.

Use the teach-back method during the session.

Answer and Explanation

Correct Answer : C,D,E

C) Use active listening methods during the session:
Active listening is crucial in educational sessions as it ensures the nurse fully understands the client’s needs and concerns. It involves attentively listening to the client, responding to their questions, and adapting the teaching to their feedback. This fosters effective communication and enhances learning.

D) Ask the client open-ended questions during the session:
Open-ended questions encourage clients to express their thoughts and provide more detailed responses. This approach helps the nurse assess the client’s understanding and identify any areas where further explanation might be needed. It also promotes a more interactive and engaging teaching process.

E) Use the teach-back method during the session:
The teach-back method involves asking the client to repeat the information in their own words to confirm their understanding. This technique is effective in reinforcing learning and identifying any gaps in the client’s comprehension, ensuring they are well-informed about their medication.

A) Provide educational material written at a 9th-grade reading level:
While providing educational material at an appropriate reading level is important, it is not selected here because the question focuses on strategies to use during the teaching session rather than the written material itself.

B) Begin the session with the least important information:
Beginning with the least important information is not an effective teaching strategy. It is better to start with the most critical points to ensure the client understands the essential aspects of their medication.

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Correct Answer is D

Explanation

A) Epinephrine:
Epinephrine is used in emergency situations such as anaphylaxis or cardiac arrest. It does not reverse the effects of anticoagulants like warfarin and is not indicated for managing an elevated INR.

B) Atropine:
Atropine is used to treat bradycardia (slow heart rate) and other conditions but does not counteract the effects of warfarin. It is not appropriate for managing an elevated INR.

C) Protamine:
Protamine is used to reverse the effects of heparin, an anticoagulant, not warfarin. It is not effective in managing high INR levels associated with warfarin therapy.

D) Vitamin K:
Vitamin K is the appropriate antidote for reversing the effects of warfarin. An INR of 5.2 indicates a high risk of bleeding, and administering Vitamin K can help to reduce the anticoagulant effects of warfarin and bring the INR back to a safer range.

A. Bounding pulse B. Urine-specific gravity greater than 1.030 C. Pitting edema D. Swelling at the IV site E. Crackles upon auscultation

Correct Answer is ["A","C","E"]

Explanation

A) Bounding pulse:
A bounding pulse is a common sign of fluid volume excess. It indicates increased blood volume and pressure in the circulatory system, often associated with conditions such as heart failure or renal issues.

B) Urine-specific gravity greater than 1.030:
A urine-specific gravity greater than 1.030 typically indicates dehydration or concentrated urine rather than fluid volume excess. In cases of fluid volume excess, the urine-specific gravity is usually lower due to diluted urine.

C) Pitting edema:
Pitting edema, where pressure applied to the skin leaves a temporary indentation, is a clear sign of fluid volume excess. It indicates that excess fluid has accumulated in the tissues, commonly observed in conditions like heart failure or kidney dysfunction.

D) Swelling at the IV site:
Swelling at the IV site can indicate localized issues such as infiltration or phlebitis rather than generalized fluid volume excess. It is not typically a direct indicator of fluid overload.

E) Crackles upon auscultation:
Crackles (rales) heard upon auscultation of the lungs are a sign of fluid in the alveoli, which can be associated with fluid volume excess. This finding suggests that excess fluid is impacting pulmonary function, often seen in heart failure or severe fluid overload.

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A nurse is preparing to teach a client about a new medication. Which of the following strategies should the nurse plan to use?(Select All that Apply.)

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Correct Answer is D

Explanation

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Correct Answer is ["A","C","E"]

Explanation

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A nurse is preparing to teach a client about a new medication. Which of the following strategies should the nurse plan to use?(Select All that Apply.)