After the client teaching has been completed, the nurse identifies which of the following as potential evaluation outcomes? Standard Text: Select all that apply
1. Teaching might have to be modified.
2. Follow-up teaching might be needed.
3. Behavior changes immediately.
4. Clients might forget some things.
5. Review is seldom necessary.
1,2,4
Rationale: Teaching plans might have to be modified if learning outcomes have not been met.
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Following an injury that led to hypovolemic shock, a child is being treated in the emergency department. Which treatment measures would be given the highest priority for this child with hypovolemic shock?
1. Assess the cause of bleeding. 2. Establish an open airway and administer oxygen. 3. Administer analgesics for control of pain. 4. Provide replacement of volume.
A patient who is in the Emergency Department was attacked in a parking lot and suffered several stab wounds to various areas on the chest and abdomen; BP 100/60, heart rate 108, respiratory rate 20, pulse oximetry 98%
In order to counteract the blood loss and restore circulating volume for this patient, what priority intervention will the nurse perform? A) Start lactated Ringer's at 150 mL/hr. B) Start dopamine at 5 mcg/kg/min. C) Start an albumin infusion wide open. D) Start a unit of uncrossmatched blood.
A care conference is being held with the family of an older patient in the late stages of Alzheimer's disease. The family wants to know if a feeding tube should be placed. How should this question be answered?
1. Tube feeding will aid the patient to gain weight. 2. Tube feeding is associated with a reduced risk of aspiration. 3. Tube feeding reduces the discomfort associated with dehydration. 4. The absence of tube feeding promotes dehydration which reduces pain sensitivity.
If a woman in her last trimester of pregnancy has marked edema, she may have
a. heart failure. b. dehydration. c. preeclampsia. d. sodium overload.