The nurse plans to use pamphlets to teach a newly immigrated Vietnamese patient about diabetes mellitus. Before initiating this education, the priority information for the nurse to obtain is the patient's:
a. Ability to read and understand English
b. Readiness and ability to learn this material
c. Previous knowledge and interest in the subject
d. Willingness to participate and follow instructions
ANS: A
Pamphlets are useful only if the patient can read and understand the language in which the material is written. The other options are secondary to this priority concern.
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During a physical examination, a 45-year-old woman states that she has had a crusty, itchy rash on her breast for approximately 2 weeks. In trying to find the cause of the rash, which question would be important for the nurse to ask?
a. "Is the rash raised and red?" b. "Does it appear to be cyclic?" c. "Where did the rash first appearâ€"on the nipple, the areola, or the surrounding skin?" d. "What was she doing when she first noticed the rash, and do her actions make it worse?"
The hospice nurse has just admitted a new patient to the program. What principle guides hospice care?
A) Care addresses the needs of the patient as well as the needs of the family. B) Care is focused on the patient centrally and the family peripherally. C) The focus of all aspects of care is solely on the patient. D) The care team prioritizes the patient's physical needs and the family is responsible for the patient's emotional needs.
The nurse provides discharge teaching to a client with laryngitis. Which client statement indicates an understanding of the instruction?
1. "I should massage my throat to stimulate the vocal cords." 2. "I can speak as much as I want as long as it is not painful." 3. "I can whisper but not speak in a regular voice." 4. "I should rest my voice by not speaking."
A nurse is taking care of a client after an abdominal hysterectomy. A priority nursing diagnosis in the early postoperative period would be:
1. Acute pain. 2. Powerlessness. 3. Hyperthermia. 4. Constipation.