Author Question: The nurse wishes to use the communication technique of clarification. The nurse states: A. Have ... (Read 71 times)

wenmo · **on:** Jul 24, 2018

The nurse wishes to use the communication technique of clarification. The nurse states:

A. Have you spoken with your family?
B. I'm not sure that I understand what you mean.
C. Tell me more about your family history.
D. I sense that you may be anxious about something.

Question 2

The nurse is planning to perform postural drainage on a patient who is receiving continuous tube feedings. What should the nurse do before performing the treatment? (Select all that apply.)

a. Stop the tube feedings for 1 to 2 hours before and after postural drainage.
b. Check for residual feeding in the patient's stomach and hold treatment if greater than 100 mL.
c. Give the prescribed inhaled bronchodilator 20 minutes before the procedure.
d. Auscultate all lung fields, assess vital signs, and draw arterial blood gas levels (ABG).

coyin · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

B
B. This statement asks the client to explain or clarify something that is unclear to the nurse.
A. This question asks for specific information, not clarification.
C. This statement is a broad opening rather than a clarification technique.
D. This statement is a shared perception, not a request for clarification.

Answer to Question 2

B, C
Stop all continuous gastric tube feedings for 30 to 45 minutes before postural drainage. Check for residual feeding in the patient's stomach; if greater than 100 mL, hold treatment. If the patient is receiving inhaled bronchodilator, nebulizer, or aerosol treatment, postural drainage is performed 20 minutes after such therapy is provided. Assessing lung sounds and vital signs, but not blood gas levels, is routinely done. Instead, pulse oximetry readings can be assessed.