A nurse is teaching a client how to self-administer insulin. Which of the
following actions should the nurse take to evaluate the client's
understanding of the process within the psychomotor domain of learning.
A. Ask the client if he want to self-administer his insulin.
B. Have the client list the steps of the procedure.
C. Have the client demonstrates the procedure.
D. Ask the client if he understands the purpose of insulin. ------Correct
Answer-------C. Have the client demonstrates the procedure.
Having the client demonstrate the procedure provides the nurse the ability
to evaluate the client's understanding within the psychomotor domain of
learning.
A nurse is preparing to administer a cleansing enema to a client. Which of
the following actions should the nurse plan to take.
A. Insert the rectal tube 15.2 cm (6in.)
B. Wear sterile gloves to insert the tubing.
C. Position the client on his left side.
D. Hold the solution bag 91 cm (36 in) above the client's rectum. ------
Correct Answer-------C. Position the client on his left side.
Positioning is an important aspect of administering an enema. Having the
client lie on his left side facilitates the flow of the enema solution into the
sigmoid and descending colon.
A client who reports shortness of breath requests her nurse's help in
changing positions. After repositioning the client, which of the following
actions should the nurse take next?
A. encourage the client to take deep breaths
B. Observe the rate, depth, and character of the client's respirations.
C. Prepare to administer oxygen.
D. Give the client a back rub to help her relax. ------Correct Answer-------B.
Observe the rate, depth, and character of the client's respirations.
The nurse should apply the nursing process priority-setting framework
when caring for this client. The nurse can use the nursing process to plan
client care and prioritize nursing actions. Each step of the nursing process
builds on the previous step, beginning with assessment or data collection.
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