A nurse is reinforcing teaching with a client about the physical effects of chemotherapy.
Following the teaching, the nurse asks the client to describe one physical effect. The nurse is focusing on which element of the communication process?

Feedback

Environment

Message

Channel

Answer and Explanation

The Correct Answer is A

A.   Asking the client to describe one physical effect after teaching is seeking feedback to ensure understanding.
B.   The environment refers to the physical surroundings and context of communication, not the client's response.
C.   The message is the information conveyed during teaching.
D.   The channel is the method or medium through which communication occurs, such as verbal or written communication.

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Correct Answer is ["B","C","G","H"]

Explanation

A. Providing oxygen at 6 L/min via nasal cannula is not indicated based on the information provided. The client denies shortness of breath, and vital signs are within normal limits.
B. Applying cold compresses to joints can help reduce swelling and alleviate pain in the extremities.
C. Performing passive range of motion (ROM) exercises is appropriate to maintain joint flexibility and prevent contractures.
D. Administering IV fluids is not explicitly indicated based on the information provided. Fluid management should be individualized based on the client's condition and underlying factors.
E. Obtaining consent for a blood transfusion is not necessary unless the client has severe anemia or bleeding.
F. Restricting fluid intake to 1,400 mL/day may cause dehydration and electrolyte imbalance.
G. Administering meperidine (a narcotic analgesic) may be considered for pain relief.
H. Encouraging bedrest is appropriate to minimize joint stress and promote healing, especially when there is pain and swelling in the extremities.

Correct Answer is ["25"]

Explanation

To answer this question, you need to use the formula:

gtt/min = (Volume x Drop factor) / Time

Plug in the given values:

gtt/min = (100 mL x 15 gtt/mL) / 60 min

Simplify and solve:

gtt/min = 1500 gtt / 60 min gtt/min = 25 gtt/min

Therefore, the nurse should set the manual IV infusion to deliver 25 gtt/min.

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A nurse is reinforcing teaching with a client about the physical effects of chemotherapy. Following the teaching, the nurse asks the client to describe one physical effect. The nurse is focusing on which element of the communication process?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for an adolescent client. Exhibits Which of the following actions should the nurse identify as part of the plan of care? Select all that apply.

Correct Answer is ["B","C","G","H"]

Explanation

A nurse is preparing to administer dextrose 5% in water (DSW) 100 mL to infuse over 1 hr. The drop factor of the manual IV tubing is 15 gtt/ml. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number.)

Correct Answer is ["25"]

Explanation

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A nurse in an extended-care facility is reinforcing teaching for with a group of newly licensed nurses about the expected physiologic changes of aging. Which of the following information should the nurse include? (Select all that apply.)

A nurse is preparing to administer dextrose 5% in water IV to infuse at 100 mL/60 min.The drop factor on the manual IV tubing is 60 gtt/mL. The nurse should set the IV flow rate to deliver how many gtt/min? (Round to the nearest whole number.)

A nurse is reinforcing teaching with a client about the physical effects of chemotherapy.
Following the teaching, the nurse asks the client to describe one physical effect. The nurse is focusing on which element of the communication process?