A nurse is teaching a client how to self-administer daily low-dose heparin injections. Which of the following factors is most likely to increase the client's motivation to learn?

The nurse explaining the need for education to the client

The client's belief that his needs will be met through education

The client seeking family approval by agreeing to a teaching plan

The nurse's empathy about the client having to self-inject

Answer and Explanation

The Correct Answer is B

B. When the client believes that learning how to self-administer daily low-dose heparin injections will meet their needs, such as improving their health, managing their condition effectively, or promoting independence, they are more likely to be motivated to engage in the learning process.
A. Understanding the importance of education is crucial, but it may not directly impact the client's motivation unless it is coupled with other factors.
C. While seeking family approval may be a motivating factor for some clients, it may not necessarily be the most significant factor in increasing motivation to learn.
D. Empathy from the nurse can create a positive learning environment and foster trust between the nurse and client, which can indirectly contribute to the client's motivation. However, the client's motivation is primarily influenced by their own beliefs, needs, and perceived benefits of education.

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Correct Answer is D

Explanation

D. Drinking thickened liquids with a straw is not recommended for clients with dysphagia because it can increase the risk of aspiration. Straws may allow liquids to bypass the swallowing mechanism, potentially leading to aspiration pneumonia or choking. Therefore, the nurse should intervene and provide alternative methods for the client to consume thickened liquids, such as using a spoon or a specialized dysphagia cup with a controlled flow rate.
A. Taking frequent breaks while eating is a common strategy for clients with dysphagia to pace themselves during meals and reduce the risk of aspiration. This action is appropriate and does not require intervention from the nurse.
B. Adjusting the head of the bed to 90° is also appropriate for clients with dysphagia, as it helps optimize swallowing mechanics and reduces the risk of aspiration. This position facilitates the passage of food and liquids down the esophagus and into the stomach.

C. Tucking the chin when swallowing is a proper technique to help close off the airway and prevent aspiration during swallowing. This action promotes safe swallowing by directing the bolus of food or liquid toward the esophagus and away from the trachea.

A. Enteral feeding B. Urinary catheter care C. Endotracheal suctioning D. Wound

Correct Answer is C

Explanation

C. Endotracheal suctioning is crucial for maintaining a patent airway in clients with an endotracheal tube who may have secretions obstructing their airway. This procedure directly impacts the client's ability to breathe and is often performed on an urgent basis to prevent respiratory distress or failure.
A. Enteral feeding is important for providing nutrition to clients who cannot eat by mouth, but it is not immediately life-threatening. This procedure can usually be scheduled and does not require urgent attention compared to issues involving airway or breathing.

B. Urinary catheter care is necessary to prevent infections and ensure proper urinary drainage, but it is not typically an urgent procedure unless there is a blockage or another complication that immediately impacts the client’s health.
D. Wound irrigation is important for preventing infection and promoting healing, but it is not as immediately critical as ensuring a patent airway. It can usually be performed after more urgent needs are addressed.

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A nurse is teaching a client how to self-administer daily low-dose heparin injections. Which of the following factors is most likely to increase the client's motivation to learn?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has dysphagia. When assisting the client during breakfast, which of the following actions by the client indicates the nurse should intervene?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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