The nurse is teaching a patient about a new medication that will be administered using a metered-dose inhaler. To evaluate the patient's understanding about how to use the device, what will the nurse do?
a. Ask the patient to give a return demonstration using the inhaler.
b. Give the patient written instructions to review as needed.
c. Offer the patient an Internet web address with information about the product.
d. Provide information about drug effects and adverse reactions.
ANS: A
The nurse should demonstrate skills and evaluate understanding with return demonstrations. Written instructions and Internet sites are helpful but do not give information about how well the patient can perform a task.
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The nurse is caring for a client with systemic inflammatory response syndrome (SIRS). Which assessment finding would the nurse anticipate? Select all that apply.
A) A white blood cell (WBC) count less than 3,000 cells/mm3 or greater than 10,000 cells/mm3 B) A heart rate of greater than 90 beats per minute C) A respiratory rate of greater than 16 respirations per minute D) A body temperature of less than 36°C or greater than 38°C E) The presence of greater than 20% immature neutrophils
What technique should the nurse use to obtain a throat culture from a client who is suspected to have a bacterial pharyngitis and tonsillitis?
A. Ask the client to expectorate mucus/sputum into a sterile specimen container upon first arising after a full night's sleep. B. Ask the client to gargle with a mouthful of sterile normal saline for 30 seconds, and then to expectorate the saline into a sterile container. C. Rub a sterile swab first over the right tonsillar area, moving across the right arch, the uvula, and the left arch to the left tonsillar area. D. Dampen a sterile swab with sterile normal saline and then gently rub the hard and soft palates, taking care to avoid areas with a white or cream-colored patch.
The client is nervous about an upcoming colposcopy and calls the nurse in the office to ask for a repeat explanation of the procedure. The nurse explains that it is an endoscopic procedure to:
a. provide direct visualization of the endome-trium to diagnose or treat a uterine problem b. provide direct visualization of the vagina and cervix to diagnose cervical dsyplasia or cancer of the cervix c. obtain an endometrial biopsy for diagnosis of endometrial tissue abnormalities d. remove a small piece of tissue for microscopic examination to diagnose prostate abnormalities
Ordered: Prozac: 30 mg PO daily in AM. Available:
a. Estimate: b. DA verification: c. Evaluation: