The nurse is teaching a client about a newly prescribed medication.

To confirm that the client is learning the critical information, which strategy is most important for the nurse to include during the instruction?

Provide client-focused information.

Observe the client’s body language.

Ask the client for learning feedback.

Reinforce key points with the client.

Answer and Explanation

The Correct Answer is C

Choice A rationale
Providing client-focused information is important, but it does not confirm that the client has understood the critical information. The nurse needs to ensure that the client has comprehended the instructions.
Choice B rationale
Observing the client’s body language can provide some insight into their understanding, but it is not a reliable method to confirm comprehension. The nurse needs to use a more direct approach to ensure understanding.
Choice C rationale
Asking the client for learning feedback is the most important strategy to confirm that the client is learning the critical information. This method allows the nurse to assess the client’s understanding and clarify any misconceptions. It ensures that the client has comprehended the instructions and can apply the information correctly.
Choice D rationale
Reinforcing key points with the client is important, but it does not confirm that the client has understood the critical information. The nurse needs to ensure that the client has comprehended the instructions.

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Correct Answer is A

Explanation

Choice A rationale
Ensuring the bevel of the needle is pointing up is crucial when administering an intradermal injection. This technique allows the medication to be deposited just below the surface of the skin, creating a small bleb or wheal. This is important for the proper absorption and effectiveness of the medication.
Choice B rationale
Massaging the site gently after injection is not recommended for intradermal injections. Massaging can cause the medication to spread into the subcutaneous tissue, which can affect the accuracy of the test results or the effectiveness of the medication.
Choice C rationale
Holding the syringe perpendicular to the skin is not appropriate for intradermal injections. Intradermal injections should be administered at a 5 to 15-degree angle to ensure the medication is deposited just below the surface of the skin.
Choice D rationale
Selecting the upper arm as the injection site is not the best practice for intradermal injections. The preferred sites for intradermal injections are the inner surface of the forearm and the upper back below the scapula.

A. Inspects crutches to ensure rubber tips are intact. B. Practices bicep and triceps isometric exercises. C. Bears body weight on the palms of hands during the crutch gait. D. Progresses to foot touchdown and weight bearing of the affected leg.

Correct Answer is C

Explanation

Choice A rationale
Inspecting crutches to ensure rubber tips are intact is important for safety, but it does not indicate an understanding of proper crutch walking technique. Proper crutch walking involves more than just equipment inspection.
Choice B rationale
Practicing bicep and triceps isometric exercises can help strengthen the muscles needed for crutch walking, but it does not directly demonstrate an understanding of the correct crutch gait. The focus should be on the actual technique of using the crutches.
Choice C rationale
Bearing body weight on the palms of hands during the crutch gait is the correct behavior that indicates an understanding of proper crutch walking. This technique helps distribute weight appropriately and prevents strain on the underarms, which can cause nerve damage and discomfort.
Choice D rationale
Progressing to foot touchdown and weight bearing of the affected leg is not appropriate for a three-point gait, which is used when the client should not bear any weight on the affected leg. This choice indicates a misunderstanding of the correct crutch walking technique for this specific gait.

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The nurse is teaching a client about a newly prescribed medication. To confirm that the client is learning the critical information, which strategy is most important for the nurse to include during the instruction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is administering an intradermal (ID) injection to a client. Which action should the nurse take?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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The nurse is teaching a client about a newly prescribed medication.

To confirm that the client is learning the critical information, which strategy is most important for the nurse to include during the instruction?