You are the clinic nurse doing patient teaching for palliative radiotherapy to the spine. After you complete the patient teaching, your patient continues to ask the same questions that you have already addressed. What can you conclude?
A) The patient is not listening.
B) The patient is noncompliant.
C) The patient may have a low IQ.
D) Learning has not occurred.
Ans: D
Feedback: The nurse should be sensitive to these ongoing needs and may need to repeat previously provided information or simply be present while the patient and family react emotionally. Telling a patient something is not teaching. If a patient continues to ask the same questions, teaching needs to be reinforced. Terminology must be understood by the patient, written material may be given, and a family member may accompany the patient. Options A, B, and C are incorrect; many times the patient listens but does not understand the teaching because of his or her emotions. By asking questions, the patient shows he or she is not noncompliant. Nowhere in the scenario does it indicate that the patient may have a low IQ.
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The nurse keeps in mind that the most important reason to share information and to offer brief teaching while performing the physical examination is to help the:
a. Examiner feel more comfortable and to gain control of the situation. b. Examiner to build rapport and to increase the patient's confidence in him or her. c. Patient understand his or her disease process and treatment modalities. d. Patient identify questions about his or her disease and the potential areas of patient education.
A patient who is 28 weeks pregnant calls the obstetrical clinic and complains of irregular, painless contractions that last for 10 to 15 seconds. What response by the nurse is best?
A. "If they last more than 60 seconds or become regular, come in." B. "Oh, you are just having what are called Braxton Hicks contractions." C. "Pregnant women often experience this type of contraction." D. "You should come in to the clinic as soon as possible today."
A placenta previa in which the placental edge just reaches the internal os is called
a. Total b. Partial c. Complete d. Marginal
After checking the urinary drainage system for kinks in the tubing, the nurse determines that a client who has returned from the post-anesthesia care has a dark, concentrated urinary output of 54 ml for the last 2 hours. What priority nursing action should be implemented?
A) Report the findings to the surgeon. B) Irrigate the indwelling urinary catheter. C) Apply manual pressure to the bladder. D) Increase the IV flow rate for 15 minutes.