The nurse is teaching a client about a new medication. The nurse recognizes the following as a potential barrier to learning?

The client states that she will be staying with her daughter after discharge.

Client states she is having pain.

The client states she uses a pill container to divide her daily meditation.

The client states her pharmacy also provides information on the medication.

Answer and Explanation

The Correct Answer is B

A. The client states that she will be staying with her daughter after discharge: Staying with her daughter could potentially be a support system, not a barrier to learning.
B. Client states she is having pain: Pain can significantly impair a client's ability to focus and understand new information, making it a potential barrier to learning.
C. The client states she uses a pill container to divide her daily medication: Using a pill container indicates that the client has a system in place for managing medications and is not a barrier to learning.
D. The client states her pharmacy also provides information on the medication: Having access to additional information from the pharmacy is an aid to learning, not a barrier.

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Correct Answer is C

Explanation

A. Vomiting: Vomiting is objective data because it can be observed and measured by the nurse.
B. Auscultation of heart murmur: This is objective data obtained through physical examination techniques.
C. Client's complaint of nausea: Subjective data is information reported by the client about their experience, feelings, or symptoms, which cannot be directly observed by others.
D. Blood pressure reading: This is objective data obtained through measurement.

A. Show the client a video of proper crutch walking B. Assess the client’s readiness to learn C. develop short term goal for the client in the teaching plan D. Ask the client to demonstrate walking with the crutches

Correct Answer is C

Explanation

A. Show the client a video of proper crutch walking: Showing a video is part of the implementation step, not the planning step.
B. Assess the client's readiness to learn: Assessing readiness to learn is part of the assessment step, not the planning step.
C. Develop short-term goals for the client in the teaching plan: Developing short-term goals is a key part of the planning step in a teaching plan.
D. Ask the client to demonstrate walking with the crutches: Asking for a demonstration is part of the evaluation step, not the planning step.

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The nurse is teaching a client about a new medication. The nurse recognizes the following as a potential barrier to learning?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During a health assessment, the nurse is collecting subjective data from the client. Which of the following is an example of subjective data?

Correct Answer is C

Explanation

A nurse is preparing a teaching plan to a client who is learning crutch walking. The nurse should identify the following actions as part of the planning step of the teaching plan.

Correct Answer is C

Explanation

During an interaction with a client, the nurse notes the patient remains silent. What would be appropriate nurse responses for this interaction? (Select all that apply)

A charge nurse is teaching a new nurse the importance of patient confidentiality in providing competent care. What professional standards would the charge nurse refer to in the teaching?

A nurse is completing a client's history and physical examination. Which of the following information should the nurse consider objective data?

A nurse delegates to an assistive personnel. During the delegation the nurse observes the UAP using the large cuff on a client who is overweight. The nurse is demonstrating which of the following rights of delegation?

A nurse on a medical surgical unit has received report on four clients. Which of the following clients should the nurse assign to the NA?

An RN has a critical client that needs constant monitoring. However, the RN also has other clients in need of care. Which tasks below could the RN delegate to the LPN to help continue the process of client care? Select three items

A nurse is planning to use the SBAR communication tool when giving on coming shift report. Which of the following statements should the nurse include in the R step?

A nurse is planning to use the SBAR communication tool when calling a provider. Which of the following statements should the nurse include in the S step?