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 ["A","B","D","E"]

Explanation

A) Erythema:
Erythema, or redness of the skin at the IV insertion site, is a common sign of phlebitis. It indicates inflammation of the vein wall and is often one of the first observable symptoms.

B) Streak formation:
Streak formation along the path of the vein is a characteristic sign of phlebitis. It indicates that the inflammation is extending along the vein, which can be indicative of more severe irritation or infection.

C) Damp dressing:
A damp dressing may indicate leakage or poor adherence, but it is not a specific sign of phlebitis. Phlebitis is primarily associated with symptoms of redness, warmth, and tenderness, rather than the condition of the dressing.

D) Warmth at insertion site:
Warmth at the insertion site is another manifestation of phlebitis. It indicates increased blood flow to the area as a response to inflammation and irritation.

E) Throbbing:
Throbbing or pain at the insertion site is a common symptom of phlebitis. It results from inflammation of the vein and can be a sign of the condition's progression.

A. Administer the medication using a 5/8-inch needle. B. Administer the medication using a Z-track technique. C. Administer the medication in the deltoid muscle. D. Administer the medication at a 45° angle.

Correct Answer is B

Explanation

A) Administer the medication using a 5/8-inch needle:
Ceftriaxone is typically administered using a longer needle to ensure proper injection into the muscle. A 5/8-inch needle is more suitable for subcutaneous injections rather than intramuscular (IM) injections.

B) Administer the medication using a Z-track technique:
The Z-track technique is appropriate for IM injections of medications like ceftriaxone, which can be irritating to tissues. This technique helps prevent the medication from leaking into the subcutaneous tissue and minimizes discomfort by creating a zigzag path in the muscle.

C) Administer the medication in the deltoid muscle:
Ceftriaxone is generally administered in larger muscle groups, such as the vastus lateralis or gluteus muscle, rather than the deltoid. The deltoid is more commonly used for vaccines or smaller volume injections.

D) Administer the medication at a 45° angle:
For IM injections, the needle should be inserted at a 90° angle to the skin. A 45° angle is more appropriate for subcutaneous injections.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has a peripheral IV with a continuous infusion. Which of the following findings is a manifestation of phlebitis? (Select all that apply.)

Correct Answer is ["A","B","D","E"]

Explanation

A nurse is planning to administer ceftriaxone IM to an adult client. Which of the following actions should the nurse plan to take?

Correct Answer is B

Explanation

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