A nurse is teaching a client how to walk using a walker. After showing the client the procedure, the nurse asks the client to perform the skill. Which of the following types of teaching strategies is the nurse utilizing?

Question-and-answer

Role-play

Return demonstration

Discussion

Answer and Explanation

The Correct Answer is C

A. Question-and-answer: This strategy involves the nurse asking questions to assess the client's understanding and provide information, but it does not involve the client performing the skill.
B. Role-play: Role-play involves the client acting out scenarios to practice skills, but this is not the method being described where the client is simply asked to perform a skill.
C. Return demonstration: This strategy involves the client performing a skill or procedure after being shown how to do it, allowing the nurse to assess the client's competence in the skill. This is the method being described in the scenario.
D. Discussion: Discussion involves talking through concepts or information but does not include the client actively performing a skill.

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Correct Answer is C

Explanation

A. Monitoring cardiac rhythm is not specifically necessary for ethambutol therapy.
B. Urine output is not a primary concern related to ethambutol use.
C. Visual acuity should be monitored because ethambutol can cause optic neuritis, which may lead to vision changes and requires regular assessment.
D. Skin color is not a specific concern with ethambutol therapy; monitoring for visual changes is more pertinent.

A. Urine output B. Oxygen saturation C. Weight D. Temperature E. Blood pressure F. Breath sounds

Correct Answer is ["A","B","C","F"]

Explanation

A. Urine output: A decrease in urine output from 480 mL/8 hr to 320 mL/8 hr indicates reduced renal perfusion or worsening heart failure. This finding suggests potential fluid retention or impaired kidney function, requiring further investigation and action.

B. Oxygen saturation: A drop in oxygen saturation from 95% to 88% indicates worsening oxygenation and potential respiratory distress or fluid overload. This finding necessitates further assessment and possible intervention to manage the client's respiratory status.

C. Weight: An increase in weight from 80 kg to 82.1 kg suggests fluid retention, which is common in heart failure. This weight gain indicates worsening fluid balance and may require adjustment in treatment to address fluid overload.

F. Breath sounds: The presence of scattered crackles on Day 4 suggests pulmonary congestion or fluid accumulation, which is concerning in heart failure. This finding indicates a worsening of the client’s condition and requires further evaluation and management.

Explanation of Incorrect Options:

D. Temperature: The temperature has slightly decreased but is still within a normal range. This finding does not require immediate further action.

E. Blood pressure: Although there is a change in blood pressure from 108/50 mm Hg to 138/80 mm Hg, this increase is not as critical as the other findings. It is important but less urgent in this context compared to the issues with oxygen saturation, urine output, weight, and breath sounds.

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A nurse is teaching a client how to walk using a walker. After showing the client the procedure, the nurse asks the client to perform the skill. Which of the following types of teaching strategies is the nurse utilizing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is hospitalized with active pulmonary tuberculosis and is started on ethambutol therapy. The nurse should understand that which of the following should be monitored?

Correct Answer is C

Explanation

A nurse is caring for a client who has heart failure. Exhibits A nurse is reviewing the assessment finding for the client on day 4. Which of the following findings requires further action? (Select all that apply.)

Correct Answer is ["A","B","C","F"]

Explanation

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