Answer to Question 1
C
In most situations it is not appropriate to delegate educational interventions to nursing assistive personnel (NAP); therefore the nurse manager would have to intervene. Nurses should initiate teaching; that is a component of the nurse's role. Discovery is a useful technique for teaching problem-solving application and independent thinking. Regardless of the method used to teach, use the teach-back method to evaluate the patient's understanding of the material.
Answer to Question 2
A
A patient with neurological deficits sometimes has paresis (muscle weakness) or paralysis unila-terally or bilaterally, which complicates safe transfer. A flaccid arm sustains injury during transfer if unsupported. As a general rule, use a transfer belt and obtain assistance for mobilization of such patients. Use patient-handling equipment and devices, such as height-adjustable beds, ceil-ing-mounted lifts, friction-reducing slide sheets, air-assisted devices, and encourage the patient to help as much as possible. Grasping the patient under his or her arms could cause damage to this delicate area and does not allow for a firm hold, as the arms could lift up. A transfer belt is more secure. Always be aware of the patient's motor deficits, ability to aid in transfer, and body weight. As a rule of thumb, GET HELP to transfer a patient.
The nurse needs to note the source of the patient health history
B, The nurse teaches the postoperative client to use an incentive spirometer to expand the lungs.
A nurse communicates with her non–English-speaking patient through an interpreter
Teaching an illterate patient
Patient teaching: rectal and anal assessment
The nurse begins the general survey