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 D

Explanation

A. This is associated with iron deficiency anemia, not COPD.
B. While peripheral edema can occur in advanced COPD due to right-sided heart failure (cor pulmonale), it's not a typical early finding.
C. This is associated with inflammation of the pleural layers, typically due to pneumonia or pleurisy, not COPD.
D. Barrel chest is a classic sign of COPD, resulting from air trapping in the lungs, causing the chest to become hyperinflated

A. Increase sodium intake. B. Infuse hypotonic IV fluids. C. Administer sodium polystyrene sulfonate. D. Implement a fluid restriction.

Correct Answer is B

Explanation

A. Increasing sodium intake would exacerbate hypernatremia, not correct it. Hypernatremia is characterized by an excess of sodium in the blood, so the goal of treatment is to lower sodium levels, not increase them.
B. Infusing hypotonic IV fluids, such as 0.45% NaCl or D5W (5% dextrose in water), helps to dilute the high sodium concentration in the blood and can assist in correcting hypernatremia. Hypotonic fluids move water into cells and help balance the sodium levels by promoting hydration and lowering the sodium concentration.
C. Sodium polystyrene sulfonate (Kayexalate) is used to treat hyperkalemia (elevated potassium levels), not hypernatremia. It works by exchanging potassium for sodium in the gastrointestinal tract and would not address hypernatremia.
D. Implementing a fluid restriction is generally not the best approach for treating hypernatremia. In fact, fluid restriction could worsen hypernatremia by limiting the client's fluid intake and not addressing the sodium imbalance. The primary goal in hypernatremia is usually to rehydrate the patient with appropriate fluids.

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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

A nurse is assessing a client who has COPD. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse is planning care for a client who has hypernatremia. Which of the following actions should the nurse include in the plan of care?

Correct Answer is B

Explanation

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