The nurse has important information to share with a parent who ...

[javeds]

The nurse has important information to share with a parent who has brought his child to the emergency department. The nurse discovers that the parent, who appears very anxious, has just learned his son will require surgery.
 
  What is the most effective teaching approach in this situa-tion? a. One-on-one discussion
  b. Preparatory instruction
  c. Demonstration instruction
  d. Group instruction

Question 2

The nurse would expect a patient with right-sided heart failure to have which of the following?
 
  a. Peripheral edema
  b. Basilar crackles
  c. Chest pain
  d. Cyanosis

[juicepod]

Answer to Question 1

A
The one-on-one discussion allows the nurse the opportunity to present information informally, providing the parent with the opportunity to ask questions and share concerns. This would be the most effective teaching approach in this situation as it gives the parent the opportunity to express concerns and ask questions.
The preparatory instruction allows the nurse the opportunity to provide information about pro-cedures and helps clients anticipate what will happen. This is not an appropriate intervention ini-tially.
Demonstration instruction helps teach psychomotor skills and is not the most effective teaching approach in this situation.
Group instruction is an economical way to teach information to several clients; however, this would not be an effective teaching approach in this situation.

Answer to Question 2

A
Right-sided heart failure results from inability of the right side of the heart to pump effectively, leading to a systemic backup. Peripheral edema and hepatojugular distention are signs of right-sided failure. Basilar crackles can indicate pulmonary congestion from left-sided heart failure. Cyanosis and chest pain result from inadequate tissue perfusion.