It is a busy day on the medical-surgical floor, and the nurse must teach a client ready for discharge about his medications. How can the nurse most efficiently utilize time and provide this education?

Educate the client about the medications as each one is given.

Discuss the information while assisting the client with his bath.

Follow up with the client after discharge with a phone call.

Write down instructions so the client can read them at home.

Answer and Explanation

The Correct Answer is A

A. This approach involves providing medication education to the client as each medication is administered. While this ensures that the client receives information about each medication in a timely manner, it may not allow for comprehensive education or adequate time for the client to ask questions or clarify information. Additionally, the client may feel overwhelmed by receiving information about multiple medications at once.
B. Incorporating medication education into another activity, such as assisting the client with his bath, can be an efficient use of time. However, it may not provide an optimal environment for focused learning and discussion. The client may be distracted or uncomfortable during the bath, limiting their ability to absorb and retain information effectively.
C. This approach involves providing medication education to the client after discharge via a follow-up phone call. While this allows for more time and flexibility in providing education, it may not address the client's immediate needs or questions prior to discharge. Additionally, the client may have already started taking the medications by the time of the follow-up call, potentially leading to missed opportunities for clarification or adjustment of the medication regimen.
D. Providing written instructions for the client to read at home is an efficient way to ensure that the client has access to information about their medications. This allows the client to review the information at their own pace and refer back to it as needed. However, written instructions alone may not be sufficient for addressing all aspects of medication education, such as potential side effects, drug interactions, or administration techniques.

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Free Nursing Study Resources

Correct Answer is B

Explanation

B. Physical therapy, also known as physiotherapy, is a discipline focused on the preservation, enhancement, or restoration of movement and physical function. Physical therapists assess and treat individuals with musculoskeletal, neuromuscular, cardiovascular, and other conditions to improve mobility, strength, flexibility, balance, and coordination through therapeutic exercises, manual therapy techniques, and functional training.
A. Respiratory therapy focuses on the assessment, treatment, and management of patients with respiratory and cardiopulmonary disorders. Respiratory therapists specialize in providing interventions such as oxygen therapy, mechanical ventilation, and pulmonary rehabilitation to optimize respiratory function and improve breathing.
C. Speech therapy and language pathology, also known as speech-language pathology (SLP), is a discipline that focuses on the assessment and treatment of communication disorders, swallowing difficulties (dysphagia), and cognitive-communication impairments. Speech-language pathologists assess and treat individuals with speech sound disorders, language delays, voice disorders, fluency disorders (stuttering), and communication difficulties associated with neurological conditions or injuries.
D. Occupational therapy is a discipline focused on promoting health and well-being through meaningful engagement in daily activities (occupations). Occupational therapists assess and treat individuals of all ages who are experiencing physical, cognitive, psychosocial, or sensory impairments that affect their ability to participate in activities of daily living (ADLs), work, leisure, education, and social participation. Occupational therapy interventions aim to enhance independence, functional performance, and quality of life.

A. Administer an intravenous sedative B. Assess the client for seizure activity C. Assist the client in slowed breathing techniques D. Check the client's blood pressure

Correct Answer is C

Explanation

C. Assisting the client in slowed breathing techniques is the most appropriate initial intervention for a client experiencing hyperventilation due to acute psychological stress. Slowed breathing techniques, such as pursed-lip breathing or diaphragmatic breathing, can help normalize respiratory rate and depth, thereby correcting the respiratory alkalosis. Encouraging the client to breathe slowly and deeply can help reduce the respiratory rate and restore a more balanced acid-base status.
A. Administering a sedative may not be the initial intervention for a client experiencing hyperventilation due to acute psychological stress. Sedatives can depress the respiratory drive further and may exacerbate respiratory alkalosis. Additionally, administering sedatives should be based on a comprehensive assessment and medical prescription, rather than as a first-line intervention for hyperventilation.
B. While hyperventilation can sometimes lead to symptoms resembling seizure activity (such as muscle twitching or numbness), assessing for seizure activity is not typically the initial intervention for respiratory alkalosis. In the context of acute psychological stress causing hyperventilation, addressing the hyperventilation itself is the priority.
D. While monitoring vital signs, including blood pressure, is important in assessing the client's overall condition, it is not the initial intervention specifically for addressing respiratory alkalosis due to hyperventilation. The priority in this situation is to address the hyperventilation itself through appropriate breathing techniques.

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It is a busy day on the medical-surgical floor, and the nurse must teach a client ready for discharge about his medications. How can the nurse most efficiently utilize time and provide this education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client requires a type of therapy for the preservation, enhancement, or restoration of movement. Which abbreviation would describe this type of discipline?

Correct Answer is B

Explanation

A client is hyperventilating due to an acute psychologic stressor. The arterial blood gas results show that the client is in respiratory alkalosis. What is the nurse's initial intervention?

Correct Answer is C

Explanation

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