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

Explanation

A) Catheter dislodgment:
Hearing a gurgling sound near the catheter insertion site may indicate that the catheter is partially dislodged. This dislodgment can cause air to enter the catheter or affect the proper flow of fluids. Immediate assessment and intervention are required to address the dislodgment and prevent complications such as air embolism.

B) Catheter rupture:
A catheter rupture would typically present with signs of leakage or blood in the surrounding area, rather than a gurgling sound. While a rupture is a serious complication, it does not usually cause a gurgling noise.

C) Catheter migration:
Catheter migration occurs when the catheter moves from its original position, which could lead to issues with catheter function or placement. However, migration is less likely to cause a gurgling sound and more likely to present with changes in catheter function or resistance during infusion.

D) Catheter occlusion:
Catheter occlusion usually presents with difficulty in infusing fluids or withdrawing blood, not a gurgling sound. An occlusion is characterized by blockage or reduced flow rather than an audible gurgling.

A. "I've had a backache for several days." B. "I feel nauseated and have no appetite." C. "I am urinating more frequently." D. "I can walk a mile a day."

Correct Answer is B

Explanation

A) "I've had a backache for several days."
A backache is not typically associated with digoxin toxicity. This symptom is more likely related to musculoskeletal issues rather than an adverse effect of digoxin.

B) "I feel nauseated and have no appetite."
Nausea and loss of appetite are common symptoms of digoxin toxicity. Digoxin can cause gastrointestinal disturbances as part of its adverse effects, and these symptoms are important indicators that the medication levels may be too high.

C) "I am urinating more frequently."
Increased urination is not an adverse effect of digoxin itself but may be a result of the diuretic effect of other medications often used in conjunction with digoxin for heart failure. It is not typically a direct sign of digoxin toxicity.

D) "I can walk a mile a day."
The ability to walk a mile a day indicates that the client is experiencing functional improvement, not adverse effects. Digoxin is used to improve symptoms of heart failure, and this statement suggests that the medication may be having a beneficial effect.

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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 caring for a client who has a central venous catheter and reports hearing a gurgling sound on the side of the catheter insertion. Which of the following complications should the nurse suspect?

Correct Answer is A

Explanation

A nurse is caring for a client who has heart failure and a prescription for digoxin. Which of the following statements by the client indicates an adverse effect of the medication?

Correct Answer is B

Explanation

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