A client is instructed on the proper way to apply nitroglycerin ointment. What should the nurse use to evaluate the effectiveness of teaching provided?
1. Questionnaire
2. Verbal response
3. Teach back method
4. Paper and pencil test
3
Rationale 1: A questionnaire would not be appropriate to evaluate the effectiveness of medication teaching.
Rationale 2: Verbal response would not be appropriate to evaluate the effectiveness of medication teaching.
Rationale 3:Teach-back is a way to confirm that the client was instructed in a way that the client understands.
Rationale 4: Paper and pencil test would not be appropriate to evaluate the effectiveness of medication teaching.
Global Rationale:Teach-back is a way to confirm that the client was instructed in a way that the client understands. A questionnaire, verbal response, or paper and pencil test would not be appropriate to evaluate the effectiveness of medication teaching.
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A patient with acute leukemia is also anemic and is to receive packed red blood cells. What is the most important nursing action when giving the blood?
A) Give intravenous diuretics before the blood. B) Administer the blood with normal saline volume. C) Ensure administration of bronchodilators. D) Prepare for continuous renal replacement therapy (CRRT).
When assessing the A of the acronym REEDA, the nurse should assess the:
a. skin color. b. degree of edema. c. edges of the episiotomy. d. episiotomy for discharge.
Your patient has been diagnosed with pericarditis. Which of the following are signs and symptoms, or a precipitating factor? (Select all that apply.)
a. Sharp pain b. Pain relieved by sitting up c. Pain relieved by resting d. Friction rub heard to right of sternum e. History of kidney failure f. Result of viral infection g. Result of medications such as procaina-mide
A patient experiencing multisystem fluid volume deficit has tachycardia and decreased urine output. The nurse realizes these findings are most likely a direct result of which factor?
1. The body's natural compensatory mechanisms 2. Pharmacologic effects of a diuretic 3. Effects of rapidly infused intravenous fluids 4. Cardiac failure