A client is to be discharged from a nursing home. The nurse caring for the client has to educate the client regarding the appropriate use of prescribed drugs. Which factor would be most important in promoting learning?
A) Attitude
B) Motivation
C) Interest
D) Grasping power
Ans: B
Feedback:
Motivation is probably the key factor in providing an impetus to the process of patient learning and teaching. Attitude, interest, and grasping power may also help the learning process, but without motivation the patient could be noncompliant to the treatment.
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A 74-year-old man who has just returned to the medical-surgical floor following surgery for a total knee replacement says he has "been confused in the past" when he takes pain medications. The nurse realizes that the elderly may:
A) Require lower doses of medication and are easily confused with new medications B) Have altered absorption and metabolism, which prohibits the use of opiates C) Be confused following surgery and that is related to normal aging and unrelated to the medication D) Require a higher initial dose of pain medication followed by a tapered dose
Which laboratory value indicates that the epoetin alfa (Procrit, Epogen) therapy is effective?
A. Platelet count has decreased from 80,000 to 50,000. B. Segmented neutrophils outnumber the band neutrophils. C. Serum potassium level has increased from 3.5 to 4.5 mEq/L D. Red blood cell count has increased from 2.2 million to 3.0 million.
A nurse is teaching a nursing student how blood can return to the heart when pressure in the venous capillary beds is very low. Which statement by the student indicates a need for further teaching?
a. "Constriction of small muscles in the venous wall increases venous pressure." b. "Negative pressure in the left atrium draws blood toward the heart." c. "Skeletal muscles relax to allow the free flow of blood." d. "Venous valves help prevent the backflow of blood."
Which of the following nursing interventions is the best example of the implementation part of the nursing process?
a. Determining that the client's ankle edema is worse after he ambulates b. Asking the client to rate his ankle pain after receiving oral pain medication c. Arranging for the client to receive pain medication d. Crushing the client's pain medication to facilitate easier swallowing and thus minimize choking