A nurse is working with a client who was recently diagnosed with asthma. During the current session, the nurse teaches the client to administer a bronchodilator by metered-dose inhaler. How should the nurse evaluate the teaching-learning process?

Ask the client to describe the purpose of the medication

Assess the client's respiratory status at the next scheduled visit

Ask the client if they understand how to use the bronchodilator

Directly observe the client using the inhaler to give themselves a dose

Answer and Explanation

The Correct Answer is D

Choice A reason: Asking the client to describe the purpose of the medication is not enough to evaluate the teaching-learning process. The client may know the rationale for the medication, but not how to use it correctly.

Choice B reason: Assessing the client's respiratory status at the next scheduled visit is not enough to evaluate the teaching-learning process. The client may have improved or worsened respiratory status due to other factors, not necessarily related to the use of the bronchodilator.

Choice C reason: Asking the client if they understand how to use the bronchodilator is not enough to evaluate the teaching-learning process. The client may say they understand, but not demonstrate the correct technique.

Choice D reason: Directly observing the client using the inhaler to give themselves a dose is the best way to evaluate the teaching-learning process. The nurse can assess the client's ability to use the inhaler correctly, and provide feedback and reinforcement as needed.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A reason: Heat rash is not an early sign of a fat embolus, as it is a skin condition that occurs when the sweat ducts are blocked and the sweat cannot evaporate. Heat rash is more common in hot and humid environments, and it causes red, itchy, or prickly bumps on the skin. Heat rash is not related to a fat embolus, which is a serious complication of a fracture that involves the release of fat droplets into the bloodstream.

Choice B reason: Tachypnea is an early sign of a fat embolus, as it indicates a respiratory distress that may be caused by the fat droplets blocking the pulmonary capillaries. Tachypnea is a rapid breathing rate that exceeds 20 breaths per minute, and it may be accompanied by dyspnea, chest pain, cough, or hemoptysis. Tachypnea is a sign of hypoxemia, which is a low level of oxygen in the blood, and it requires immediate intervention.

Choice C reason: Bradycardia is not an early sign of a fat embolus, as it is a slow heart rate that is below 60 beats per minute. Bradycardia may be caused by various factors, such as medication, heart disease, hypothyroidism, or vagal stimulation. Bradycardia is not related to a fat embolus, which is a serious complication of a fracture that involves the release of fat droplets into the bloodstream.

Choice D reason: Abdominal cramping is not an early sign of a fat embolus, as it is a pain or discomfort in the abdomen that may be caused by various factors, such as food intolerance, infection, inflammation, or obstruction. Abdominal cramping is not related to a fat embolus, which is a serious complication of a fracture that involves the release of fat droplets into the bloodstream.

Choice E reason: Confusion is not an early sign of a fat embolus, but a late sign that may indicate a cerebral involvement of the fat embolus. Confusion is a state of impaired awareness, orientation, or memory that may be caused by various factors, such as medication, infection, trauma, or hypoxia. Confusion is a sign of cerebral hypoxia, which is a low level of oxygen in the brain, and it requires immediate intervention.

A. Males with a cardiac history between the ages of 30 and 40 years old B. Females with a history of diabetes and are between the ages of 20 and 30 years old C. Males who have had a previous fracture D. Females who have a history of estrogen deficiency and are post-menopausal

Correct Answer is D

Explanation

Choice A reason: Males with a cardiac history between the ages of 30 and 40 years old are not the most at risk for developing osteoporosis, as they have several protective factors, such as their gender, age, and hormone levels. Males have higher peak bone mass and lower bone loss rate than females, and they do not experience the rapid decline of estrogen that occurs after menopause. Cardiac history may affect the bone health indirectly, by limiting the physical activity or affecting the calcium absorption, but it is not a major risk factor.

Choice B reason: Females with a history of diabetes and are between the ages of 20 and 30 years old are not the most at risk for developing osteoporosis, as they have some protective factors, such as their age and hormone levels. Females in their reproductive years have higher estrogen levels than post-menopausal females, which helps to preserve the bone density and prevent the bone resorption. Diabetes may increase the risk of osteoporosis, by affecting the insulin, glucose, and inflammatory pathways, but it is not a definitive risk factor.

Choice C reason: Males who have had a previous fracture are not the most at risk for developing osteoporosis, as they have some protective factors, such as their gender and hormone levels. Males have higher peak bone mass and lower bone loss rate than females, and they do not experience the rapid decline of estrogen that occurs after menopause. A previous fracture may indicate a low bone density or a high fall risk, but it is not a conclusive risk factor.

Choice D reason: Females who have a history of estrogen deficiency and are post-menopausal are the most at risk for developing osteoporosis, as they have several risk factors, such as their gender, age, and hormone levels. Females have lower peak bone mass and higher bone loss rate than males, and they experience a significant drop of estrogen after menopause, which leads to increased bone resorption and decreased bone formation. Estrogen deficiency may also cause other symptoms, such as hot flashes, mood swings, or vaginal dryness, which may affect the quality of life and the bone health.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is working with a client who was recently diagnosed with asthma. During the current session, the nurse teaches the client to administer a bronchodilator by metered-dose inhaler. How should the nurse evaluate the teaching-learning process?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with a fracture of the right humerus. Which assessment finding could be an early sign of a fat embolus?

Correct Answer is B

Explanation

The nurse is assessing a group of clients. Which client is most at risk for developing osteoporosis?

Correct Answer is D

Explanation

The registered nurse is planning the client assignments for the day. What is the most appropriate assignment for Unlicensed Assistive Personnel (UAP)?

A client with severe osteoarthritis has been treated with total hip replacement. Which intervention will the nurse implement to help protect against the risk for deep venous thrombosis (DVT)?

A nurse is working with a client who was recently diagnosed with asthma. During the current session, the nurse teaches the client to administer a bronchodilator by metered-dose inhaler. How should the nurse evaluate the teaching-learning process?

The nurse would prioritize which assessment for a client with a new diagnosis of osteoarthritis?

A client with a total hip replacement is progressing well and expects to be discharged tomorrow. On returning to bed after ambulating, he complains of a new onset of pain at the surgical site. What is the nurse's best action?

Upon assessment of a newly admitted client, the nurse finds warmth, redness, edema, and tenderness to the left arm following mastectomy surgery 2 weeks ago. What might these assessment findings indicate?

A client has been diagnosed with herpes zoster present on the upper right side of the torso, extending around to the client's back. Which client statement indicates the need for further teaching regarding this diagnosis?

A nurse is reviewing a client's activities of daily living prior to discharge from total hip replacement. The nurse should identify what activity as posing a potential risk for hip dislocation?