Evaluating client learning is an ongoing and final process that ...

[daltonest1984]

Evaluating client learning is an ongoing and final process that measures learning:
 
  1. Based on written tests.
  2. Against learning goals that were selected.
  3. Client contract.
  4. Strategies used.

Question 2

The nurse is caring for an elderly client with a nursing diagnosis of Fluid Volume Deficit. Which of the following actions would yield the best indicator of the effectiveness of the nursing plan of care?
 
  1. Pinch the skin on the back of the hand, and time how long it takes to return to normal.
  2. Pinch the skin on the sternum, and time how long it takes to return to normal
  3. Monitor the client's white blood cell count.
  4. Monitor the client's intake and output.

[Chocorrol77]

Answer to Question 1

2
Rationale: Written tests are one method of measuring learning, but are not appropriate in all situations.

Answer to Question 2

2
Rationale: The most effective means of evaluating the client's response to treatment is to monitor skin turgor, which is best tested on the sternum or forehead, especially in elderly clients, whose loss of skin elasticity would reduce the response of skin return on the hand. White blood cell count would not change with improving fluid volume, although a deficit caused by an infection would require monitoring of WBC for resolution of the infection. Intake and output should be monitored on this client, but are not the best indicator of resolution of fluid volume deficit because they will normalize before skin turgor.

[daltonest1984]

Thank you!

[Chocorrol77]

Always glad to help...