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Which of the following scenarios gives the most absolute confirmation client learning has taken place? Select all that apply.

A.

A client demonstrates how to inject insulin into the abdomen

B.

A client attends a course on exercise techniques

C.

A client watches the nurse apply a dressing

D.

A client lists food choices that are considered part of a healthy diet

E.

A client nods when told how to take the blood pressure medication

Question Solution

Correct Answer : A,D

A. Demonstrating an insulin injection shows hands-on learning and mastery of the skill.

 

B. Attending a course does not confirm comprehension or skill.

 

C. Watching a nurse apply a dressing does not guarantee learning; active participation is necessary.

 

D. Listing healthy food choices indicates understanding of dietary education.

 

E. Nodding does not confirm learning; it may only indicate acknowledgment.


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Correct Answer is ["A","D"]

Explanation

A. Asking about shortness of breath is critical subjective data that indicates respiratory distress.

B. Palpating for masses is more of a physical assessment and does not yield subjective data.

C. Inspecting skin and nails is also part of the objective assessment rather than subjective data.

D. Inquiring about the color and quantity of sputum provides important subjective data related to respiratory function.

E. Auscultation is an objective assessment technique and does not pertain to subjective data.

Correct Answer is C

Explanation

A. Supine is not recommended, as it can make breathing more difficult by limiting chest expansion.

B. Trendelenberg is not suitable for someone with breathing difficulties, as this position can worsen dyspnea.

C. High-Fowler is the best position for an asthma patient experiencing shortness of breath as it promotes lung expansion and allows for maximum chest wall movement.

D. Semi-Fowler may help but is less effective than High-Fowler in cases of acute respiratory distress.

E. Left-lateral does not optimize chest expansion and is not typically recommended for respiratory distress.

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