Patient Education

The nurse is evaluating the understanding of the patient who has been taught to perform a colostomy irrigation. Which action requires further teaching? 

The nurse reviews the patient’s chart and notes a positive sickle-turbidity test. Which statement does the nurse make to the patient’s parents?  

The nurse is providing health promotion and disease prevention education to the 15-year-old patient receiving chemotherapy. Which statement does the nurse include?  

During a routine physical, the 58-year-old patient reports aching chest pain that occurs only when doing yardwork or heavy cleaning. However, it does not occur every time he is performing these chores. He denies regular exercise and reports a sedentary lifestyle. The nurse anticipates providing which instruction to the patient related to the patient's new prescription for this condition?   

The 3-year-old with sickle cell disease is preparing for discharge following a crisis during which the patient received several blood transfusions. The nurse is providing teaching regarding appropriate food choices for the child. Which foods, if selected by the parents, indicate a need for further teaching? Select all that apply.  

The nurse is providing medication teaching to the patient being treated for microcytic, hypochromic anemia. Which statement by the patient indicates effective teaching?  

The nurse is providing discharge education to the parents of the 7-day-old neonate who required a blood transfusion due to blood loss following circumcision. Which instruction is most important?  

The home health nurse is planning care for the 14-year-old with type 2 diabetes mellitus. Which intervention will best decrease the patient’s risk for long-term complications?  

The nurse is providing discharge teaching to the parents of the 3-year-old patient who was recently diagnosed with type 1 diabetes mellitus. Which item, if identified by the parents as the most important item to carry at all times, indicates effective teaching?  

The nurse is providing health promotion teaching for the 22-year-old patient with phenylketonuria. Which food, if selected by the patient, prompts the nurse to intervene?  

The nurse is supervising the assessment of a 4-year-old patient with a Wilms tumor who was brought to the emergency department for profuse vomiting. Which statement by the student nurse requires prompt intervention by the nurse? 

The 30-year-old couple presents to the infertility clinic after trying to conceive for 14 months. The man’s sperm analysis reveals sperm that have good motility and are adequate in number. On exam today, the woman’s cervical mucus is thin and stringy, with ferning on the slide. Which statement by the nurse is most appropriate?  

A 16-year-old boy is brought to the clinic by his mother with complaints of strange noises and movements. The boy states, “I can’t stand that I make this weird noise with my mouth. I can feel it coming, and I try to stop it for as long as I can, but eventually it just comes out. The other kids at school make fun of me. It’s so embarrassing.” The mother reports that the boy gets good grades and has no trouble concentrating at home when doing homework. Which information does the nurse give the patient and his mother about the medication he will be prescribed?  

The 36-hour-old neonate who was born at 37 weeks gestation to a G3P2 mother has yet to pass meconium. The baby was born by cesarean section due to refractory preeclampsia with severe features. The mother reports the baby has been breastfeeding well after a slow first 12 hours. Upon assessment, the baby appears well with good tone and responsiveness. The baby’s anus is patent and the abdomen is soft and rounded; bowel sounds present. The mother denies emesis in the baby. An abdominal x-ray is obtained, which is normal. The nurse informs the mother that which test will be performed next? 

During the 1-hour assessment of the healthy, full-term neonate born to the 25-year-old G1P1 mother, the nurse notes the urethral meatus is on the ventral part of the penile shaft just proximal to the glans. The assessment is also notable for widely-spaced, downward-slanting eyes that resemble the baby’s father. The nurse provides which information to the parents?  

The 31-year-old patient G2P1 woman presents to the clinic for 30 week appointment. She was diagnosed at 24 weeks with gestational diabetes. For 6 weeks, she changed her diet and exercised more regularly while checking her blood sugars. She logged fasting glucose levels of 108-135 mg/dL. She has no proteinuria or glycosuria. The nurse provides which information to the patient?  

The 50-year-old previously healthy patient complains of shortness of breath, especially on exertion or when laying down to sleep. She takes over-the-counter allergy medicine for seasonal allergies and melatonin to help her sleep sometimes. Her vital signs are heart rate of 64 bpm, respirations 22, oxygen saturation 99%, and blood pressure 114/68 mmHg. Her assessment is notable for crackles over the bilateral lung bases and a moderate diastolic apical murmur. Her electrocardiogram is normal. Her echocardiogram shows normal function of the left ventricle and severe stenosis of the mitral valve. The nurse provides which information to the patient?  

The 38-year-old patient who strictly adheres to a vegan diet complains of weakness and tingling in her lower extremities. She retains the strength in her lower extremities but proprioception is decreased.  Her complete blood count reveals a megaloblastic anemia. Which statement by the nurse is most appropriate? 

The 24-year-old male patient presents to the clinic to request a consultation for rhinoplasty. He reports his unsightly nose ruined his most recent relationship because his girlfriend would not stop staring at it; he has missed work due to embarrassment and has started to use makeup to make it look smaller. Upon assessment, the nose appears normal and proportional to his face. Which course of action is the most appropriate?  

During the provider’s exam of the 6-hour-old neonate, the provider reports observing a red reflex in the neonate’s right eye, but not the left. The provider observes whiteness at the back of the eye. The nurse compiles information for the new parents about which procedure?  

During the provider’s exam of the 6-hour-old neonate, the provider reports observing a red reflex in the neonate’s right eye, but not the left. The provider observes whiteness at the back of the eye. Enucleation is performed and the diagnosis of retinoblastoma with clear tumor margins is confirmed. No chemotherapy or radiation is required. The infant is ready to be discharged home as a healthy baby. Which health screening information is most relevant to this family? 

The 7-year-old child is being evaluated for attention deficit or learning disability. The child’s teachers report a lack of attention to detail and an inability to follow direction. The child’s parents report issues at home, too – not doing what is asked and not remembering what has been said. While being evaluated, the child begins to blink rapidly for 20 seconds. Once the episode ends, the child does not remember what happened or the purpose of the appointment. The nurse educates the parents about which adverse effects of first line therapy? Select all that apply.  

The patient with active syphilis asks the nurse how the prescribed medication treats the infection. Which response by the nurse is correct?  

The 59-year-old female reports vaginal bleeding. She experienced menarche at 12 years of age and menopause at 56. Endometrial carcinoma is found with endometrial biopsy. Further testing reveals no lymph node involvement or metastasis. The nurse prepares the patient for which initial therapy?  

The patient with human immunodeficiency virus and a CD4 count of 158 has a purified protein derivative (PPD) skin test performed and is found to have a 7-mm induration with circumferential erythema. Which statement does the nurse make to the patient?  

The nurse witnesses a healthy 19-year-old collapse while playing football. The individual is arousable but confused and irritable. The skin is warm, dry, and flushed. The nurse instructs a teammate to bring the water cooler and pours it over the victim. The teammate shouts, “Why did you do that?! Won’t he go into shock?”  The nurse bases the response on the need for rapid cooling to prevent which conditions? Select all that apply.  

The semi-professional athlete requests intravenous hydration after a particularly grueling practice. Which response by the nurse is most appropriate? 

The nurse is providing education to the parents of a child who was admitted with abdominal pain, fatigue, and yellow-tinged skin and sclera that was determined to be due to hemolysis. The liver dysfunction has resolved and the child is ready to be discharged, but the cause of the child’s hemolysis is still unknown at this time. Out of an abundance of caution, the nurse instructs on the list of medications/food the child must not receive to prevent possible recurrence. Which items are included on the list? Select all that apply.

The nurse is teaching a community class on cardiopulmonary resuscitation (CPR). Which rationale is best to give the class for the difference between infant CPR with one rescuer, infant CPR with two rescuers, adult CPR with one rescuer, and adult CPR with two rescuers?

The nurse performs a 12-lead electrocardiogram on the 6-hour-old 39-week-gestation neonate admitted to the neonatal intensive care unit for respiratory distress syndrome. The baby initially required continuous positive airway pressure (CPAP) but is now comfortably tachypneic on room air, with an oxygen saturation of 98% in both the right and left hands. The chest x-ray indicates transient tachypnea of the newborn. Right axis deviation suggesting right ventricular hypertrophy is noted on the ECG. The nurse anticipates the provider to give the parents which information?  

The mother of the 7-week-old infant reports the baby has had fewer and fewer wet diapers and hasn’t stooled in 3 days despite having a ravenous appetite. The mother reports that the child has been vomiting with increasing force and volume over the past two weeks. The emesis just appears to be partially digested breastmilk and fluid. The infant appears well and vitals are normal. Upon palpation of the abdomen, a small, olive-shaped mass is appreciated. The nurse alerts the provider and prepares education for which procedure?  

A 4-year-old child presents for a well-child visit. The parents report the child is doing well, has a good appetite, and has been meeting developmental milestones appropriately. Two months ago, the child was treated with antibiotics for an upper respiratory tract infection. Otherwise, the child is quite healthy. Upon assessment, the nurse notes a left-sided flank mass. The child denies urinary issues including pain or frequency, and the parents report that the child has had no incontinence episodes for a full year. The urinalysis is normal with the exception of 2+ blood. The nurse prepares to educate the family on which condition that most likely explains the child’s symptoms?  

The patient who has received a heart transplant is prescribed trimethoprim-sulfamethoxazole (TMP-SMZ) for Pneumocystis jiroveci pneumonia (PJP) prophylaxis. Which statements does the nurse provide to educate the patient about adverse effects of the TMP-SMZ? Select all that apply.