1
A nurse is teaching a client how to self-
administer insulin. Which of the following
actions should the nurse take to evaluate the
client's understanding of the process within
the psychomotor domain of learning.
A. Ask the client if he want to self-administer
his insulin.
B. Have the client list the steps of the
procedure.
C. Have the client demonstrates the
procedure.
D. Ask the client if he understands the
purpose of insulin. - -Correct answer--C.
Have the client demonstrates the procedure.
Having the client demonstrate the procedure
provides the nurse the ability to evaluate the
1
, 2
client's understanding within the
psychomotor domain of learning.
A nurse is preparing to administer a
cleansing enema to a client. Which of the
following actions should the nurse plan to
take.
A. Insert the rectal tube 15.2 cm (6in.)
B. Wear sterile gloves to insert the tubing.
C. Position the client on his left side.
D. Hold the solution bag 91 cm (36 in) above
the client's rectum. - -Correct answer--C.
Position the client on his left side.
Positioning is an important aspect of
administering an enema. Having the client lie
on his left side facilitates the flow of the
enema solution into the sigmoid and
descending colon.
2
, 3
A client who reports shortness of breath
requests her nurse's help in changing
positions. After repositioning the client, which
of the following actions should the nurse take
next?
A. encourage the client to take deep breaths
B. Observe the rate, depth, and character of
the client's respirations.
C. Prepare to administer oxygen.
D. Give the client a back rub to help her relax.
- -Correct answer--B. Observe the rate,
depth, and character of the client's
respirations.
The nurse should apply the nursing process
priority-setting framework when caring for
this client. The nurse can use the nursing
process to plan client care and prioritize
nursing actions. Each step of the nursing
process builds on the previous step,
beginning with assessment or data collection.
Before the nurse can formulate a plan of
3
, 4
action, implement a nursing intervention, or
notify a provider of a change in the client's
status, the nurse must first collect adequate
data from the client. Assessing or collecting
additional data will provide the nurse with
knowledge to make an appropriate decision;
therefore, the first action the nurse should
take is to assess the client's respiratory
status.
A nurse is caring for a client who has
bilateral casts on her hands. Which of the
following actions should the nurse take when
assisting the client with feeding?
A. Sit at the bedside while feeding the client.
B. Order pureed foods.
C. Make sure feeding are at room
temperature.
D. Offer the client a drink of fluid after every
bite. - -Correct answer--A. Sit at the bedside
while feeding the client.
4
A nurse is teaching a client how to self-
administer insulin. Which of the following
actions should the nurse take to evaluate the
client's understanding of the process within
the psychomotor domain of learning.
A. Ask the client if he want to self-administer
his insulin.
B. Have the client list the steps of the
procedure.
C. Have the client demonstrates the
procedure.
D. Ask the client if he understands the
purpose of insulin. - -Correct answer--C.
Have the client demonstrates the procedure.
Having the client demonstrate the procedure
provides the nurse the ability to evaluate the
1
, 2
client's understanding within the
psychomotor domain of learning.
A nurse is preparing to administer a
cleansing enema to a client. Which of the
following actions should the nurse plan to
take.
A. Insert the rectal tube 15.2 cm (6in.)
B. Wear sterile gloves to insert the tubing.
C. Position the client on his left side.
D. Hold the solution bag 91 cm (36 in) above
the client's rectum. - -Correct answer--C.
Position the client on his left side.
Positioning is an important aspect of
administering an enema. Having the client lie
on his left side facilitates the flow of the
enema solution into the sigmoid and
descending colon.
2
, 3
A client who reports shortness of breath
requests her nurse's help in changing
positions. After repositioning the client, which
of the following actions should the nurse take
next?
A. encourage the client to take deep breaths
B. Observe the rate, depth, and character of
the client's respirations.
C. Prepare to administer oxygen.
D. Give the client a back rub to help her relax.
- -Correct answer--B. Observe the rate,
depth, and character of the client's
respirations.
The nurse should apply the nursing process
priority-setting framework when caring for
this client. The nurse can use the nursing
process to plan client care and prioritize
nursing actions. Each step of the nursing
process builds on the previous step,
beginning with assessment or data collection.
Before the nurse can formulate a plan of
3
, 4
action, implement a nursing intervention, or
notify a provider of a change in the client's
status, the nurse must first collect adequate
data from the client. Assessing or collecting
additional data will provide the nurse with
knowledge to make an appropriate decision;
therefore, the first action the nurse should
take is to assess the client's respiratory
status.
A nurse is caring for a client who has
bilateral casts on her hands. Which of the
following actions should the nurse take when
assisting the client with feeding?
A. Sit at the bedside while feeding the client.
B. Order pureed foods.
C. Make sure feeding are at room
temperature.
D. Offer the client a drink of fluid after every
bite. - -Correct answer--A. Sit at the bedside
while feeding the client.
4
