The nurse understands that motivation to learn is strongest when the client:

has a high level of health literacy.

wants to be discharged as soon as possible.

has attended many years of school.

recognizes a benefit in the knowledge.

Answer and Explanation

The Correct Answer is D

D. When clients perceive that the knowledge or information being presented is beneficial to their health outcomes, they are more likely to be motivated to learn. Understanding how the knowledge can improve their health, manage their condition, or prevent complications provides intrinsic motivation to engage in learning activities.

A. While health literacy is important for understanding health information, having a high level of health literacy alone does not guarantee motivation to learn. Motivation to learn is more about personal engagement and perceived relevance of the information to one's own health and well-being.

B. While this may provide motivation for compliance with treatment plans or learning specific self-care tasks required for discharge, it does not necessarily translate to a strong motivation to learn beyond immediate needs related to discharge.

C. Formal education may contribute to overall cognitive abilities and learning skills, but it does not automatically translate into motivation to learn in a healthcare context. Motivation to learn is more about personal interest, perceived relevance, and understanding the benefits of acquiring new knowledge.

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Correct Answer is A

Explanation

A. Confusion can be an early sign of hypoxia, especially when oxygen delivery to the brain is compromised. Inadequate oxygenation can affect cognitive function and mental status, leading to confusion. This occurs because the brain is highly sensitive to changes in oxygen levels.

B. Apnea refers to the absence of breathing. While severe hypoxia can lead to respiratory arrest and apnea, it is not typically an early manifestation of hypoxia. Early hypoxia is characterized by attempts to increase ventilation to compensate for decreased oxygen levels, rather than complete cessation of breathing.

C. Cyanosis occurs when there is a bluish discoloration of the skin and mucous membranes due to deoxygenated hemoglobin in the blood. Cyanosis is a late sign of hypoxia and usually indicates significant oxygen deprivation. It is not typically seen in early hypoxia stages.

DDysrhythmias (irregular heart rhythms) can occur as a result of hypoxia, especially if the heart muscle is not receiving enough oxygen. However, dysrhythmias are generally considered a later manifestation of hypoxia, as the heart attempts to compensate for decreased oxygen delivery.

A. Change bed linens on a daily basis. B. Provide fresh drinking water every four hours. C. Restrict visitors who have an upper respiratory infection. D. Monitor intake and output every shift.

Correct Answer is C

Explanation

C. This is the priority intervention because clients in protective isolation have compromised immune systems and are at high risk of infection. Upper respiratory infections can be transmitted easily through respiratory droplets, posing a significant risk to the client. Restricting visitors with such infections helps minimize the risk of introducing pathogens into the client's environment.

A. While maintaining cleanliness is important in any healthcare setting, changing bed linens daily may not be the highest priority in protective environment isolation unless there is a specific indication (e.g., soiled linens, contamination). It is essential to minimize unnecessary contact and potential sources of infection, but this is not the priority in the given context.

B. Hydration is important for all clients, but the frequency of providing fresh drinking water every four hours is generally a routine nursing care measure. Unless there are specific medical orders or client needs, this action is not directly related to the specialized care required in protective environment isolation.

D. Monitoring intake and output is important for assessing fluid balance and kidney function in hospitalized clients. However, in the context of protective isolation, where infection control is paramount, restricting visitors who pose a potential infectious risk takes precedence over routine monitoring tasks.

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The nurse understands that motivation to learn is strongest when the client:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a client who has a respiratory problem. Which clinical manifestation is most reflective of early hypoxia?

Correct Answer is A

Explanation

The nurse is providing care for a client in protective environment isolation. Which nursing action is the priority intervention?

Correct Answer is C

Explanation

The nursing instructor asks the student nurse to identify the intramuscular injection sites. The student correctly identifies the following sites: (SELECT ALL THAT APPLY)

The nurse is caring for hospitalized clients. Which nursing action requires the nurse to use sterile gloves?

The nurse takes a client's temperature and gets an unexpected result. Which site would provide the most accurate temperature reading?

Which nursing activity is an example of using primary prevention in client care?

The newly admitted client has contractures of both lower extremities. What nursing intervention should be included in this client's plan of care?

The nurse recognizes that which statement correctly characterizes drug absorption?

The nurse is aware that clients who prefer indoor activities to outdoor activities are at risk for which vitamin deficiency?

The nurse knows that many medications given to clients have predictable, secondary effects which may be harmful or may be beneficial. The nurse always includes these effects in client teaching.