The spouse of a client has just completed tracheostomy care for the first time, with minimal assistance from the nurse. Which statement offers the most constructive feedback from the nurse?
a. "I see that you had a tough time, but you will do better with practice."
b. "You were able to clean the inner cannula well. Now, let's change the ties again."
c. "You seem to have had a tough time be-cause it was your first attempt."
d. "You seem to understand what I said. Is there anything else I can help you with?"
B
The statement that provides the most positive feedback concerns what the client's spouse did well and identifies a skill that needs more practice. The other responses by the nurse give nega-tive overtones to the teaching environment and do not empower the spouse.
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The nurse instructs a client about the need to limit the intake of saturated fats. Which diet selection by the client indicates that teaching has been effective?
a. Macaroni and cheese b. Beef taco with refried beans c. Peanut butter and jelly sandwich d. Bacon, lettuce, and tomato sandwich
A nurse counsels a patient with a new prescription for interferon beta-1a, 30 mcg, given intramuscularly once a week. What time of day would be best for the patient to administer the drug?
a. 0730 b. 1200 c. 1800 d. 2200
When counseling a client who is a strict vegan, the nurse would caution that this diet puts the client at risk for
a. gout. b. osteoarthritis. c. osteomalacia. d. Paget's disease.
A woman diagnosed with hepatitis B virus (HBV) delivers a 6-pound 2-ounce baby boy. Which of the following actions should the nurse anticipate will be provided to the infant?
a. HBV-immune globulin less than 12 hours after birth and then HBV vaccine series b. Intravenous antibiotics for 12 hours c. Antiviral eye medication less than 2 hours after birth d. There is no treatment that is safe and effective for infants.