How to Answer Nurse Reinforcing Teaching Questions (Complete Guide)
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What This Question Is About
This question relates to nurse reinforcing teaching and requires a structured academic response.
How to Approach This Question
Structure your response with introduction, analysis, and conclusion.
Key Explanation
This topic involves nurse reinforcing teaching. A strong answer should include explanation, application, and examples.
Original Question
15. A nurse is reinforcing teaching with a client who has GERD and a prescription for pantoprazole. Which of the following statements indicates an understanding of the teaching? A. “I will need to remain upright for 1 hour after taking the medication.” B. I have to take this medication on an empty stomach.” C. “I should expect to have diarrhea while taking this medication.” D. “I can take antacids at the same time as this medication. 19. A nurse is caring for a client who has end-stage kidney disease. The client has decided to stop dialysis treatment. Which of the following actions should the nurse take? A. Tell the client she should discuss this decision with her family. B. Support the client’s decision to stop the treatment. C. Discuss alternative treatment methods with the client. D. Ask the facility chaplain to visit the client. 20. A nurse is caring for a client who has schizophrenia. Which of the following behaviors of the client should the nurse identify as a negative symptom of schizophrenia A. Has a preoccupation with religious thoughts B. Smells odors that don’t exist C. Mimics the nurse’s movements D. Initiates speech rarely 24. A nurse in a long-term care facility is caring for a client who has methicillin-resistant Staphylococcus aureus (MRSA). Which of the following actions should the nurse take? A. Remove personal protective equipment after leaving the client’s room. B. Restrict the client’s visitors. C. Ensure that the negative air pressure is active for the client’s room. D. Wear a gown when assisting the client with personal hygiene. 25. A nurse is assisting with the care of a client who is in the latent stage of labor and has pelvic pain with contractions. Which of the following actions should the nurse take? A. Tell the client to push during contractions. B. Encourage the client to soak in a hot bath. C. Apply fundal pressure during contractions. D. Instruct the client to change positions frequently. 29. A nurse is caring for a client who adheres to kosher dietary practices. Which of the following foods should the nurse plan to offer the client? A. Bacon and eggs B. Chicken sandwich C. Shrimp and French fries D. Cheeseburger 30. A nurse is applying antiembolic stockings for a client who is postoperative. Which of the following actions should the nurse take? A. Have the client point his toes before inserting his foot into the stocking. B. Remove the stockings once every 24 hr. C. Roll the top of the stocking down so it fits snugly above the client’s calf. D. Elevate the client’s legs for 5 min prior to applying the stockings. B. Remove the stockings once every 24 hr. 34. A nurse is caring for a client who has a chlamydial infection and a new prescription for doxycycline. The client reports nausea and vomiting after starting the medication. Which of the following recommendations should the nurse make? A. Take the medication with an antacid.? B. Take the medication with crackers? C. Take the medication and then lay down for 30 min. D. Take the medication with calcium-fortified orange juice. 43. A nurse is caring for a client who is 2 days postoperative following a total bilateral mastectomy. The client is tearful and looks away when her surgical dressings are removed. The nurse should place the priority on which of the following actions? A. Providing the client with information on community resources that will strengthen her coping skills B. Encouraging the client to note about her feelings in a journal each day C. Demonstrating a nonjudgmental attitude toward the client when providing care for her surgical wounds D. Identifying the client’s perception of the changes in her physical appearance 55. A home health nurse is reinforcing teaching about home safety with an older adult client who lives alone. Which of the following client statements indicates an understanding of the teaching? A. “I will have my hearing tested every 2 years.” B. “I will have the heating system inspected once every 3 years. C. “I will make sure that electrical wires are run under carpeting.? D. “I will make sure that my hot water faucets are color-coded? 60. A nurse is caring for an adolescent who states. “I joined the track and field team, so I won’t argue with my brothers anymore.” The nurse should identify that the client is using which of the following defense mechanisms? A. Repression B. Sublimation C. Regression D. Denial 65. A nurse is caring for a 3-year-old child who has acute bacterial conjunctivitis of the right eye and has been prescribed bacitracin ophthalmic ointment. Which of the following actions should the nurse take? A. Wipe any excess medication from the inner canthus outward. B. Gently massage the eyelid to facilitate absorption of the medication. C. Instruct guardian to apply erythromycin ophthalmic ointment every morning for 14 days D. Place an occlusive dressing on the affected eye to prevent the spread of infection. 72. A nurse on a mental health unit is caring for a client who has anorexia nervosa. Which of the following statements by the nurse promotes the ethical principle of client autonomy? A. “I will be truthful when answering questions about your treatment.” B. “The nursing staff here will provide you with nonjudgmental care. C. “It is your choice to share personal information during group therapy D. I will only discuss your medical information with the health care team. 76. A nurse is collecting a health history from the guardian of a 4-year-old child. Which of the following statements by the guardian is the priority for the nurse to address? A. “My child still wets the bed at least two times per week.” B. “I have noticed that my child is withdrawn since we switched daycare providers.” C. “My child continually asks me the same questions.” D. “I have a difficult time getting my child to eat green vegetables,” 78. A nurse is assisting in the care of a client who is in active labor and is to undergo an amniotomy. Which of the following actions should the nurse take? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) 1. Position the client with a rolled towel under her hips. 2. Pass the sterile hook to the provider. 3. Check the fluid for color, odor, and consistency. 4. Obtain a baseline reading of the FHR and contraction pattern. 5. Document the procedure in the electronic medical record. 84. A nurse is preparing a sterile field to perform a dressing change of a client’s leg wound. Which of the following actions should the nurse take? A. Place sterile objects at least 2.5 cm (1 in) from the edge of the sterile field. B. Place the irrigation solution bottle cap on the sterile field. C. Hold the irrigation solution bottle 5 cm (2 in) above the sterile container. D. Open the outer wrapper of the sterile package toward her body. 95.A nurse is reinforcing teaching with a client who is scheduled for an intravenous pyelogram. Which of the following statements by the client indicates an understanding of the teaching? 103. A nurse is reinforcing discharge teaching with a client who states, “I don’t feel confident driving to my follow-up appointments.” The nurse should obtain a referral for which of the following members of the health care team? 130. A nurse is reinforcing teaching with a client who is scheduled to have a colonoscopy in 1 week. Which of the following client statements indicates an understanding of the teaching? A. “I’ll have my friend drive me home after the procedure.” B. ”I will follow a full-liquid diet the day before the procedure.” C. ”I can expect rectal bleeding for a week after the procedure.” D. ”This procedure will take place while I’m under general anesthesia.” 131.A nurse is reinforcing discharge teaching with a client who has COPD and reports problems with maintaining adequate nutrition. Which of the following instructions should the nurse include? A. “Drink at least 240 milliliters of water during each meal.” B. ”Perform pulmonary hygiene 1 hour before meals.” C. ”Lie down for 30 minutes after eating.” D. ”Self-administer oxygen through your nasal cannula at 6 milliliter per minute during meals.” A. “Drink at least 240 milliliters of water during each meal.” 139. a nurse is collecting data from a 9 year old during a well child visit. Which of the following findings should the nurse expect? a. grasps concept of cause and effect b. demonstrates self centered control c. expresses conflict over independence and control d. displays emotional detachment from parents 4. A nurse is caring for a client who has Clostridium difficile. When applying a cover gown, which of the following techniques should the nurse use? · Tuck the glove cuffs under the gown sleeves. · Push the gown sleeves up to the elbows · Apply the gown before the gloves · Tie the gown with the gloves on. 7. A nurse is reinforcing teaching with a client who has a new prescription for warfarin. The nurse should identify which of the following over-the counter medications as safe for use with warfarin? · Aspirin · Omeprazole · Ibuprofen · Docusate 18. A nurse is reinforcing teaching with a client who has an ankle injury and requires crutches. Which of the following instructions should the nurse provide? 23. A nurse is administering a client’s morning oral medications. Which of the following actions should the nurse take? · Verify the medication three times with the medication administration record. · Administer time-critical medication 60 min before or after the scheduled time. · Identify the client by using one identifier before giving the medication. · Document medication administration prior to administering medication. 26. A nurse working in a rehabilitation unit is administering medications to two clients who have the same name. Which of the following identifiers should the nurse use to verify the identities of each client? · The telephone numbers of the clients · The diagnoses of the clients · The names of the clients nearest relatives · The room numbers of the clients 32. A nurse is collecting data from a client who has a urinary tract infection and is taking ciprofloxacin. The client reports pain in her calf muscle. Which of the following statements should the nurse make? · “This is an allergic reaction. Take the medication with an antihistamine. · “Continue to take the medication. Calf pain is a minor reaction that will resolve itself. · “Discontinue the medication. I will ask your provider for another antibiotic” · “That reaction means your dose is too high. Cut the pill in half. 33. A nurse is caring for a client who has a new prescription for a fentanyl transdermal patch. Which of the following actions should the nurse take when administering a transdermal patch? (Select all that apply.) · Apply the patch to a clean, hairless area of the client’s skin. · Dispose of old transdermal patches in a childproof container · Apply the transdermal patch to either of the client’s forearms. · Use sterile gloves to apply and remove transdermal patches. · Remove the old transdermal patch before applying a new one. 34. A nurse is assisting in providing postmortem care for a client who was a devout follower of Hinduism. Which of the following requests should the nurse anticipate from the client’s family? · To prohibit medical personnel from touching the client’s body · To bury the client’s body within 24 hr of their death · To cremate the client’s body · To stay with the client’s body for 8 hr following their death 35. A nurse is collecting data from a client who is receiving IV therapy. The nurse suspects fluid infiltration. Which of the following findings should the nurse expect at the insertion site? · Erythema · Pruritus · Blood · Edema 36. A nurse is assisting with the care of a preschooler who has manifestations that suggest epiglottitis. Which of the following actions should the nurse take? · Determine the preschooler’s oxygen saturation level. · Collect a sputum sample. · Obtain a specimen for throat culture. · Inspect the preschooler’s tonsils for edema. 37. A nurse is contributing to the plan of care for a client who has COPD. Which of the following interventions should the nurse include in the plan? · Provide the client with three large meals each day. · Place the client in an orthopneic position. · Encourage the client to cough and deep breathe once every 8 hr. · Limit fluid intake to 1.000 mL daily. 45. A nurse is assisting with the admission of an older adult client who has impaired mobility and is at risk for falls. Which of the following fall precautions should the nurse plan to implement first? · Determine the client’s ability to use the call light. · Move the bedside table with the client’s personal items close to the bed. · make a schedule with an assistive personnel to do hourly rounding for the chent · Apply rubber-soled slippers before ambulation. 46. A nurse is administering an intermittent enteral feeding through a client’s NG tube. During the instillation, the client reports abdominal cramping and nausea. Which of the following actions should the nurse take? · Lower the head of the bed to 15%. · Replace the NG tube. · Chill and readminister the formula. · Slow the rate of formula instillation. 49. A nurse is reinforcing teaching with the family of a client who is terminally ill about the grief process. Which of the following information should the nurse include in the teaching? · The grieving process should be complete within 1 year.” · “Anticipatory grieving prolongs the grief process.” · “Anger toward the health care staff is expected.” · The stages of grief occur in sequential order.” 56. A home health nurse is caring for an older adult client who lives with a family caregiver and has urinary incontinence. The client states, I guess will be locked in my room again for wetting the bed.” Which of the following actions should the nurse take? · Restrict family members from visiting with the client. · Report the suspected abuse to the nurse manager. · Review the medical record to see if the client has reported abuse in the past. · Contact the client’s caregiver to discuss the client’s comment. 57. A nurse is reinforcing discharge teaching with a client who states, “I don’t feel confident driving to my follow-up appointments.” The nurse should obtain a referral for which of the following members of the health care team? · Physical therapist · Primary care provider · Social worker · Occupational therapist 65. A nurse is reinforcing teaching with a client’s family about home oxygen use via nasal cannula. Which of the following statements by a family member indicates an understanding of the teaching? · “We will need to remove the nasal cannula when he is eating · “We can use petroleum jelly to keep his nares moist.” · “We can turn the oxygen up to 10 when he has trouble breathing” · “We will frequently check the top of his ears for sores. 83. A nurse is caring for a client who has a prescription for NPH insulin 10 units and regular insulin 15 units subcutaneously. After injecting 10 units of air into the NPH insulin vial, which of the following actions should the nurse take next? · Verify the dosage with another nurse. · Inject 15 units of air into the regular insulin vial. · Place the cap over the needle · Withdraw 10 units of NPH insulin
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