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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While administering 0.9% sodium chloride is an important step to maintain venous access and to help dilute any blood that might still be in the tubing, it is not the first action to take if a transfusion reaction is suspected. This step should occur after the transfusion is stopped and the patient’s safety is ensured.
B. The immediate priority when a transfusion reaction is suspected is to stop the transfusion immediately. This action helps to prevent further exposure to the potentially harmful blood product and mitigates the risk of worsening the reaction. Stopping the transfusion also allows for prompt medical assessment and intervention.
C. Returning the unit of blood to the blood bank is important for investigation and to determine the cause of the reaction, but it should be done after stopping the transfusion and ensuring the client’s safety. The blood bank may require the returned unit to confirm any issues with the blood product.
D. Obtaining a blood sample from the client is crucial for diagnostic purposes and to identify the cause of the reaction, but this should be done after the transfusion has been stopped. The sample may help in diagnosing the type of reaction or in managing it, but it does not address the immediate safety concerns.
Correct Answer is D
Explanation
A. Murmurs are usually related to valve dysfunctions, such as tricuspid or pulmonic valve issues, which may or may not be present in right-sided heart failure.
B. Crackles (or rales) are more commonly associated with left-sided heart failure. They result from fluid accumulation in the lungs (pulmonary congestion) due to the heart's inability to handle the blood returning from the lungs.
C. Chest pain can occur in various cardiac conditions but is not a hallmark symptom of right-sided heart failure. It might be present if there are underlying coronary artery disease issues or other conditions, but it is not directly indicative of right-sided heart failure.
D. Peripheral edema is a classic finding in right-sided heart failure. It results from fluid accumulation in the lower extremities due to the heart's inability to effectively pump blood to the lungs and systemic circulation, causing increased venous pressure and fluid leakage into the tissues.
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