The nurse has completed a teaching session for a client with a tracheostomy. Documentation of the session should include which of the following? (Select all that apply.)
1. Diagnosed learning needs
2. Supplies required
3. Client outcomes
4. Need for additional teaching
5. Topics taught
Correct Answer: 1,3,4,5
Rationale: The parts of the teaching process that should be documented in the client's chart include diagnosed learning needs, learning outcomes, topics taught, client outcomes, need for additional teaching, and resources provided.
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An older patient with headaches, dizziness, and ataxia takes meperidine for arthritic pain. What impact does this medication have on this patient's health problems?
1. This medication is not causing the patient's symptoms. 2. This medication is not effective in older patients for pain relief. 3. This medication is more effective to treat pain than aspirin or acetaminophen. 4. This medication causes toxic side effects similar to what the patient is experiencing.
An 82-year-old female is brought to the clinic by her daughter for transient episodes of incontinence. While assessing this patient, what question should be a priority for the nurse to ask the patient and the family?
A) Do these episodes last more than a week? B) Has there been a change in other systems of the body? C) Does the patient take bubble baths? D) What improves the symptoms?
The nurse is caring for a patient with a Salem sump double lumen nasogastric (NG) tube to suction. The patient complains of nausea and has mild abdominal distention. What is the nurse's priority action?
a. Administer an antiemetic. b. Replace the nasogastric tube. c. Check placement of the NG tube. d. Irrigate the NG tube.
What action makes up a nurse's political savvy? (Select all that apply.)
a. Analyzing a situation b. Participating in a constructive way c. Following directions d. Voicing an opinion e. Presenting a possible resolution