A nurse is beginning to plan the teaching activities for a client who is learning how to take care of his wound at home
Which of the following is one of the six pieces of information that highlights the identification of the client's perspective of the need to learn?
A) How the client perceives the health situation
B) Physical, cultural, linguistic, or psychological limitations that may impede learning
C) Intended learning outcomes
D) Client's conscious intentions and desires regarding health behaviors
A
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You are working with a client who has a diagnosis of bipolar disorder and is taking lithium. Your client is in a manic phase and is not eating or drinking much water
You are concerned when the client develops a fever of 101 degrees, seems confused, and has a blood pressure of 100/64 (baseline 132/84). It is time for the client to receive her next dose of lithium. The client has a prn order for Tylenol gr 650 for fever above 100 degrees Fahrenheit. You would do which of the following? a. Give the lithium and Tylenol, and force fluids. b. Hold the lithium, and give the Tylenol. c. Hold the lithium, and call the provider immediately. d. Report findings to the provider when he or she makes rounds.
The nurse is working at a pain clinic and is preparing an orientation for new staff nurses. Which definition of pain should the nurse include in the orientation?
A. Pain is whatever the experiencing person says it is. B. Pain is an unpleasant sensation, typically experienced upon movement. C. Pain is very subjective, so observation must be used to assess the characteristics. D. Pain is validated after determining the cause.
A nurse is teaching a patient about a new prescription for reserpine (Serpasil) for hypertension. Which statement by the patient indicates the need for further teaching?
a. "Depressive side effects are common and will improve over time." b. "I should report gastrointestinal side effects to the provider." c. "I should stand up slowly when getting up and lie down if I feel dizzy." d. "Therapeutic effects may not be optimal for a couple of weeks."
Which statement is true regarding alveoli?
a. The number of functioning alveoli is determined by birth. b. The alveoli begin to increase in size starting at 8 years of age. c. The complexity of the alveoli increases into adulthood. d. These structures produce surfactant. e. Capillaries are the origin of alveoli.