You are the nurse planning to teach tracheostomy care to one of your patients. What is the most important variable in patient teaching that you need to utilize?
A) Providing the most up-to-date information available
B) Alleviating the patient's guilt associated with not knowing appropriate self-care
C) Determining the patient's readiness to learn new information
D) Building on previous information
C
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The nurse is caring for a patient who has had a severe stroke and requires assistance to use the toilet. Which goal is the highest priority for this patient?
a. The patient will remain continent with no perineal skin breakdown. b. The patient will state satisfaction with use of gait belt for toilet transfers. c. The patient will regain ability to pull up clothing after using the toilet. d. Privacy will be provided once the patient is properly positioned on the toilet.
A patient was admitted through the emergency department with a fractured skull, ribs, and both femurs sustained from a motor vehicle accident
The nurse realizes that these fractures are going to impact which of the following for this patient? 1. formation of plasma 2. formation of red blood cells 3. immunity 4. antigen-antibody formation
A client asks the nurse what a "physical addiction to alcohol" means. Which response should the nurse provide the client?
A. "The brain remembers the euphoria experienced with alcohol, and there is a craving for it." B. "There is an intense craving for alcohol, but the craving can be best managed through group therapy." C. "The body becomes used to alcohol and if it is abruptly stopped withdrawal symptoms occur." D. "Feelings of depression occur if the use of alcohol is stopped."
The nurse develops a nursing diagnosis of risk for ineffective airway clearance related to excessive secretions. Which of the following goals is most appropriate?
a. Patient will maintain a clear airway. b. Patient will have a normal breathing pattern. c. Patient will have no cough. d. Patient's sputum will be clear or white.