The nurse is planning a teaching session with the client who had ...

[RYAN BANYAN]

The nurse is planning a teaching session with the client who had major abdominal surgery yesterday. Which of the following is a priority nursing intervention before beginning the teaching session?
 
  1. Assess and treat the client's pain level before beginning teaching.
  2. Assess the client's vital signs prior to teaching.
  3. Assist the client into a chair at the bedside.
  4. Answer the client's questions.

Question 2

When collecting data on a child suspected to have Wilms' tumor, which of the following is a priority action?
 
  1. Use only light palpation on the kidney areas.
  2. Use a deeper palpation on the kidney areas to feel the mass.
  3. Omit palpating the kidney areas.
  4. Examine the urethra for blood.

[Smiles0805]

Answer to Question 1

1
Rationale: Pain will decrease the client's ability to learn, and should be treated to increase the client's ability to concentrate. The decision to assess vital signs is determined by the client's physical condition, and will have no effect on learning. Assisting the client into a chair prior to teaching might increase the client's pain level and tire the client, creating a barrier to learning. The client's questions should be answered during and after the teaching session, not before beginning.

Answer to Question 2

3
Rationale: Wilms' tumor is well encapsulated, and this capsule helps to slow metastasis of the cancer cells. It is important no palpation is done, to prevent damage to the capsule.

[RYAN BANYAN]

TYSM

[chereeb]

Great answer, keep it coming