Patient Education

The nurse is inserting a nasogastric (NG) tube. To ease the process and increase chances for success, which instruction does the nurse give the patient to perform during insertion?

The nurse is caring for the patient who is recovering from an ischemic stroke. The speech therapist recommended all liquids to be thickened to a nectar consistency. The nurse provides which information to the patient about nectar-thick liquid? Select all that apply.

The nurse is providing medication teaching to the patient who was just prescribed warfarin. Which statements does the nurse include in teaching? Select all that apply. 

The patient who has recurrent seizures and is no longer legally able to drive has developed a depressed mood and stays home almost all of the time. Which action by the nurse is most appropriate?

The patient with angina and claudication with walking is prescribed isosorbide dinitrate (Isordil). The nurse bases medication teaching on which understanding of the drug's mechanism of action?

The patient is scheduled for bariatric surgery in one month. During the preoperative physical, the nurse notes the patient takes St. John's wort. The nurse instructs the patient to stop taking St. John's wort 5 days prior to the surgery for which reason?  

The nurse provides education to the pregnant woman about the signs of blood clots due to which cause of increased blood clotting risk during pregnancy?

The nurse prepares a diphtheria, tetanus, and pertussis (DTaP) vaccination for a 6-year-old patient. The patient’s mother states, “Wait! He’s already gotten that vaccine, several times when he was younger. I have it written down in his records.” Which response by the nurse is appropriate?

The nurse is preparing a Haemophilus influenzae type b (Hib) immunization for the 2-month-old patient. The baby’s mother states, “I recently read the influenza vaccine isn’t given until at least a year. Are you sure he should be getting this now?” Which response by the nurse is most appropriate?

The 13-year-old female patient presents to the clinic in January to begin the vaccine series for human papillomavirus. The nurse instructs the patient’s mother to schedule an appointment for the next vaccine in the series during which month at the earliest?

The patient whose mother chose not to vaccinate him presents to the clinic the day after his 18th birthday to receive all eligible vaccinations. The nurse uses which statement to counsel the patient about the hepatitis B vaccine series?

The 18-year-old patient calls the clinic two weeks after receiving the 2nd vaccination in the three-dose series for human papillomavirus (HPV). She states, “I didn’t realize it when I got the vaccine, but I was 6 weeks pregnant. Will my baby be okay?” Which response by the nurse is most appropriate?

The nurse is providing discharge education to the patient regarding immunizations following a hematopoietic stem cell transplant. When does the nurse instruct the patient to visit the clinic for the Haemophilus influenzae type b (Hib) vaccine?

The public health nurse encourages which individuals to receive the hepatitis A vaccine? Select all that apply.

The nurse has provided discharge instructions to the patient with type II diabetes. How does the nurse assess the patient’s understanding of the teaching?

The nurse is providing discharge education to the 48-year-old patient with a third grade reading level about his new prescription for valsartan. Which is the best way for the nurse to assess the patient’s understanding of the teaching?

The nurse has provided teaching to the patient regarding the use of crutches after she broke her ankle. Which is the best way for the nurse to assess the patient’s understanding of the teaching?

The nurse is teaching the patient who has been prescribed propranolol. Which statement by the patient indicates an understanding of the teaching?

The patient presents to the emergency department (ED) stating, “I started getting this terrible pressure in my chest after mowing the lawn. I just know I’m having a heart attack.” Following testing, the patient is diagnosed with angina pectoris. The patient asks, “If I didn’t have a heart attack, why did I have such bad chest pain?” Which response is appropriate?

The patient presents to the emergency room (ER) after having a fever for three days and new onset severe chest pain behind the sternum. The patient asks, “What is wrong with me? Do I have pneumonia? It hurts when I breathe.” Upon assessment, the nurse notes a heart rate of 124 bpm, temperature of 37.9°C, and an intermittent friction rub upon auscultation. The lungs are clear. The nurse suspects further testing will lead to a diagnosis of which condition?

The nurse is providing medication instructions for iron supplements to a patient with anemia. Which information is included?

The home care nurse visits the home of an elderly married couple who lives with their adult children. Medication bottles and loose pills are found throughout the house. The nurse provides which information about safe storage of medications? Select all that apply.

The nurse is advising a 20 pack-year smoker about smoking cessation. The patient knows about increased risk of lung cancer, but wants to know if smoking is linked to other forms of cancer. The nurse explains that smoking increases the risk of which cancers? Select all that apply.

A patient with epilepsy asks whether he will know if a seizure is coming on. The nurse replies with which statement?

The nurse is educating the pregnant woman at 13 weeks’ gestation with a newly placed cerclage. The nurse tells the patient to contact the provider if which events occur? Select all that apply.

Which information does the nurse include in patient teaching about cholesterol testing? Select all that apply.

Which instruction does the nurse give the patient with epilepsy who is 6 weeks pregnant?

The child suffered a radial fracture that has just been immobilized with a plaster cast. Which action by the nurse is appropriate? 

The nurse is caring for a 16-month-old child. The child’s father expresses concern to the nurse that his son cannot kick a soccer ball. Which response from the nurse is appropriate?

The nurse educates parents on the care of their 3-day-old infant prior to discharge from the hospital. Which instruction does the nurse include in the teaching?

The nurse is providing preprocedure education to the family of the child with type 1 diabetes mellitus who must undergo a tonsillectomy. Which information does the nurse include?

The nurse provides which instruction to the patient who will undergo guaiac stool testing?

The nurse is providing discharge teaching to the patient admitted with anaphylaxis after blowing up a rubber balloon. Which foods, if selected by the patient as safe to eat, indicate a need for further teaching? Select all that apply.

The nurse is counseling the parents of an 8-month-old child born with myelomeningocele on appropriate baby foods to introduce to the child. Which foods, if selected by the parents, indicate teaching was effective? Select all that apply.

The patient has been prescribed enalapril and spironolactone for the treatment of hypertension. The nurse is providing medication education to the patient regarding diet. Which food, if selected by the patient, indicates a need for further teaching?

The nurse is creating an educational class for community members who care for an older relative in the home about brain injury in the older adult. Which factors does the nurse include to impress upon the individuals the high mortality risk associated with brain injuries in the older adult? Select all that apply.

The nurse is educating the parents of a patient who experienced a moderate traumatic brain injury. The patient is expected to be discharged to a rehabilitation facility within the next week. Which statement by the parents indicates a need for further teaching?

The nurse is completing discharge education with the parents of a child with congenital heart disease. Which statement by the mother indicates a need for further teaching?

The 78-year-old male patient diagnosed with Parkinson’s disease verbalizes frustration with his incontinence of urine. The nurse provides education about which type of incontinence associated with neurological disorders and detrusor hyperreflexia?

Pregnancy is confirmed in the patient who states, “How did this happen? We were careful and wore condoms every time we had sex.” Which response by the nurse is most appropriate?

The patient had a copper intrauterine device placed at aged 21. At what age will the patient be when it must be replaced if the patient desires to continue contraception? Enter your answer using a whole number.

The nurse is counseling the patient following the removal of a copper intrauterine device. Which statement is most important for the nurse to include in teaching?

The first-time mom requests information from the nurse about providing foods other than breast milk to her 3-month-old child. Which response by the nurse is most appropriate?

The mother of a 1-month-old child tells the nurse, “I’m concerned because my child does not hold his head up during tummy time.” Which response by the nurse is appropriate?

The nurse is providing discharge teaching to a patient who will receive chemotherapy at home for cervical cancer. Which statement by the patient indicates a need for further teaching?

The mother brings her 18-month-old child to the clinic with concerns for developmental delay. She states, “She says ‘Mama’ and ‘Dada’, and ten or so other words. I keep working with her but I’m concerned she is falling behind.” Which response by the nurse is most appropriate?

The nonverbal patient is improving in the intensive care unit following a motor vehicle accident; as such, the continuous hydromorphone infusion is being weaned according to a schedule. The nurse provides education to the patient’s guardian about which signs and symptoms that the pain medicine is being weaned too quickly? Select all that apply.

The 14-year-old patient was admitted following surgical reduction of an open femur fracture. The patient, who has reported good pain control with the patient-controlled analgesia (PCA) pump, is sleeping peacefully. During hourly rounding, the nurse observes the parent press the button to administer the bolus of pain medication. Which action by the nurse is appropriate?

The nurse is planning care for the patient who will undergo hip replacement surgery in a month. When is the best time to provide teaching about the use of a patient-controlled analgesia (PCA) pump?

The female patient tells the nurse, “I think the man I had unprotected sex with last night might have herpes. I’m so afraid I’m going to get it, too.” Which response by the nurse is most appropriate?