A clinic nurse is teaching a client prior to surgery. The client ...

[rmenurse]

A clinic nurse is teaching a client prior to surgery. The client does not seem to comprehend the teaching, forgets a lot of what is said, and asks the same questions again and again. What action by the nurse is best?
 
  a. Assess the client for anxiety.
  b. Break the information into smaller bits.
  c. Give the client written information.
  d. Review the information again.

Question 2

A nurse works on the postoperative floor and has four clients who are being discharged tomorrow. Which one has the greatest need for the nurse to consult other members of the health care team for post-discharge care?
 
  a. Married young adult who is the primary caregiver for children
  b. Middle-aged client who is post knee replacement, needs physical therapy
  c. Older adult who lives at home despite some memory loss
  d. Young client who lives alone, has family and friends nearby

[shayla]

Answer to Question 1

ANS: A
Anxiety can interfere with learning and cooperation. The nurse should assess the client for anxiety. The other actions are appropriate too, and can be included in the teaching plan, but effective teaching cannot occur if the client is highly anxious.

Answer to Question 2

ANS: C
The older adult has the most potentially complex discharge needs. With memory loss, the client may not be able to follow the prescribed home regimen. The client's physical abilities may be limited by chronic illness. This client has several safety needs that should be assessed. The other clients all have evidence of a support system and no known potential for serious safety issues.

[rmenurse]

Thanks for the timely response, appreciate it

[nothere]

TYSM