A client has an incision with a complex dressing change. The client is scheduled to be discharged home and the wound will require continued dressings at home. Which statement by the client indicates a need to postpone teaching?
1. "It's going to take time for me to understand this whole thing."
2. "Let's make sure my spouse is around before you start explaining."
3. "I wish my doctor would have explained this more in depth."
4. "I'm feeling nauseous, but go ahead and start anyway."
Correct Answer: 4
Rationale 1: This statement shows interest as well as realism in attitude toward learning. The nurse should be attentive to cues that may enhance the learning experience, such as amount of time spent on the process.
Rationale 2: This statement shows interest as well as realism in attitude toward learning. The nurse should be attentive to cues that may enhance the learning experience, such as having the spouse available to learn along with the client.
Rationale 3: This statement shows interest as well as realism in attitude toward learning. The nurse should be attentive to cues that may enhance the learning experience, such as giving thorough explanations about the rationale for the treatment.
Rationale 4: Learning can be inhibited by physiologic events such as illness, pain, or sensory deficits. The client must be able to concentrate and apply adequate energy to the learning or the learning itself will be impaired. If the client is experiencing nausea, the nurse should first try to reduce this symptom before beginning the teaching session.
You might also like to view...
A nurse cares for a client who is recovering from a myocardial infarction. The client states, "I will need to stop eating so much chili to keep that indigestion pain from returning." How should the nurse respond?
a. "Chili is high in fat and calories; it would be a good idea to stop eating it." b. "The provider has prescribed an antacid for you to take every morning." c. "What do you understand about what happened to you?" d. "When did you start experiencing this indigestion?"
The home health nurse is visiting a 3-month-old infant diagnosed with congenital hypothyroidism who has been prescribed a daily dose of thyroxine
Due to digestive issues, the infant consumes soy formula and is at the 50th percentile for height and weight. Based on this data, which statement by the nurse to the mother is appropriate? A) "You can stop the thyroxine as long as your baby remains in the 50th percentile for height and weight." B) "The soy formula can interfere with the absorption of thyroxine." C) "A dairy-based formula is contraindicated because your baby is prescribed thyroxine." D) "As long as your baby is growing along the same growth curve, no interventions are necessary."
The nurse is caring for an infant with possible congestive heart failure (CHF). Which manifestation would the infant most likely exhibit?
A) Feeding problems B) Rapid weight gain C) Bradycardia D) Yellowish color
A patient with a fever of unknown origin is being started on a broad-spectrum antibiotic. It is imperative that the nurse:
1. administer antibiotics before laboratory testing is performed. 2. administer antipyretics as soon as possible. 3. obtain all cultures before antibiotics are administered. 4. delay the administration of antibiotics until the results of cultures are available.