Which of the following is an appropriate evaluation method to assess the effectiveness of home care teaching after a client has surgery?

Sending a follow-up survey via email to assess the client's satisfaction with the teaching provided

Asking the client if they have any questions or concerns about their home care instructions

Asking the client to demonstrate the proper technique for dressing their surgical incision

Reviewing the client's vital signs to ensure they are within normal limits.

Answer and Explanation

The Correct Answer is C

A.   This is a good method to gather feedback but does not directly assess the client's ability to perform the taught skills.
B.   This is important to identify knowledge gaps but does not assess the client's ability to perform the skills.
C.   This is the most direct way to assess the client's ability to perform the taught skill and ensures that the client has retained the information.
D.   While important, vital signs do not directly assess the effectiveness of home care teaching.

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Correct Answer is C

Explanation

A. The correct actions to take include staying with the client for the first 15-30 minutes after starting the transfusion, not just the first 10 minutes, to monitor for any adverse reactions.
B. It is also crucial to use 0.9% sodium chloride solution, not 5% dextrose in water, to flush the transfusion tubing.
C. It is a standard practice to have two nurses check the blood unit label to verify the correct blood type and compatibility before administration.
D. The transfusion should not be rushed over 1 hour; instead, it should be administered over a period of 2-4 hours, depending on the patient's condition and the volume of PRBCs to be transfused.

A. Lisinopril B. Acetaminophen C. Aspirin D. Metoprolol

Correct Answer is C

Explanation

A. Lisinopril is an ACE inhibitor used to treat hypertension and heart failure. It can affect blood pressure regulation and might impact intraoperative and postoperative blood pressure control, but it is not generally associated with increased surgical bleeding risk.
B. Acetaminophen is a pain reliever and antipyretic used for mild to moderate pain and fever. It does not have a significant impact on bleeding risk or interfere with clotting mechanisms. It is generally considered safe for use around the time of surgery.
C. Aspirin is an antiplatelet medication that inhibits platelet aggregation and can increase the risk of bleeding. It affects blood clotting and can lead to excessive bleeding during and after surgery. It is often recommended to stop aspirin use several days before surgery to reduce this risk, unless specifically directed otherwise by the healthcare provider.
D. Metoprolol is a beta-blocker used to manage hypertension and heart conditions. It is generally not associated with increased bleeding risk.

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Which of the following is an appropriate evaluation method to assess the effectiveness of home care teaching after a client has surgery?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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