The nurse is providing discharge instruction for a client recently diagnosed with asthma. Which of the following statements by the client indicates a need for further education?
A) I will use my peak flow meter every day for 2 weeks.
B) I will use my peak flow meter when I feel that I am catching a cold.
C) I will use my peak flow meter prior to going to bed.
D) I will use my peak flow meter before and after taking my medication.
Question 2An older male patient diagnosed with prostate cancer is not prescribed any treatment. What does the nurse realize as the reason for this treatment approach?
1. The cancer is slow growing.
2. The patient will not survive treatment.
3. The patient has less than 10 years to live.
4. The cancer is growing quickly and no treatment will be helpful.
Question 3A nurse is instructing a hospitalized client with a diagnosis of emphysema about measures that will enhance the effectiveness of breathing during dyspneic periods. Which of the following positions will the nurse instruct the client to assume?
A) Sitting up in bed
B) Side-lying in bed
C) Sitting in a recliner
D) Sitting on the side of the bed and leaning on an overbed table.
Question 4The nurse instructs an older patient with benign prostatic hyperplasia (BPH) on the pathophysiology of the health problem. Which patient statement indicates further teaching is needed?
1. There are nonsurgical treatment options available.
2. This condition may lead to cancer of the prostate.
3. As my condition progresses, I may need to consider surgical management.
4. Alpha blockers can be used to control my symptoms.
Question 5The older client with pneumonia often
A) spikes a temperature and develops hemoptysis.
B) does not require antibiotic therapy.
C) is more likely to present with lethargy and loss of cognitive function.
D) should not receive the pneumonia vaccine after recovering from the infection.
Question 6The nurse is teaching bladder retraining to an older patient recovering from bladder surgery. Which patient statement indicates understanding of the teaching provided?
1. I will gradually space my voiding times to longer periods.
2. I should force fluids to promote my bladder to hold more urine.
3. I should try to see how long I can hold my urine before voiding.
4. Research has not supported theories linking dietary intake to bladder irritation.
Question 7In educating an older client about smoking cessation, the nurse should keep in mind that
A) most persons quit smoking several times before they are successful.
B) buproprion (Zyban) taken orally is safe for clients with seizure disorders.
C) a piece of nicotine gum should be chewed for 5 minutes of every waking hour.
D) there is no adverse risk if the client chooses to smoke while wearing a nicotine patch.
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