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 nurse's empathy about the client having to self-inject.
The client seeking family approval by agreeing to a teaching plan.
The Correct Answer is B
A. While it's important for the nurse to explain the need for education, the client's belief in personal benefits is more motivating.
B. The belief that their needs will be met through education fosters motivation.
C. Empathy from the nurse can enhance the learning experience but might not solely motivate the client.
D. Seeking family approval is an external motivator, but personal belief in the benefits of education is more intrinsic.
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Related Questions
Correct Answer is C
Explanation
A. Dismissing concerns by suggesting that they won't need to worry with physical therapy is not therapeutic. It invalidates the client's feelings.
B. Discouraging the client from worrying may seem dismissive of their emotions and concerns.
C. Acknowledging and reflecting the client's concern about the future demonstrates empathy and encourages further discussion.
D. Asking why the client is concerned might make them feel defensive and does not validate their emotions.
Correct Answer is C
Explanation
A. Use an 18-gauge, 1-inch needle to administer the medication:
This is incorrect because an 18-gauge needle is too large and not appropriate for subcutaneous injections like heparin. A smaller gauge needle, such as 25- to 27-gauge, and a shorter length (⅜ to ⅝ inch) is recommended for subcutaneous injections.
B. Massage the injection site after withdrawing the needle:
This is incorrect because massaging the injection site after administering heparin can increase the risk of bruising and hematoma formation. Heparin is an anticoagulant, and gentle handling of the injection site is crucial.
C. Inject 5.1 cm (2 in) away from the umbilicus:
This is correct. Heparin is administered subcutaneously, typically in the abdomen, avoiding areas near the umbilicus or scars. Injecting at least 2 inches away from the umbilicus ensures the medication is delivered to appropriate subcutaneous tissue and minimizes complications.
D. Expel air bubble before injecting medication:
This is incorrect because the air bubble in prefilled heparin syringes should not be expelled. The air bubble helps ensure the full dose is administered and reduces the risk of medication leakage.
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