A nurse has educated a client on isoniazid. What statement by the client indicates that teaching has been effective?

Correct Answer: C

Rationale: The correct answer is C: "I will take this medication on an empty stomach." This indicates effective teaching because isoniazid should be taken on an empty stomach to maximize absorption. Taking it with food can reduce absorption. A: Taking extra vitamin C is not necessary for isoniazid. B: Taking isoniazid with milk or juice can reduce its effectiveness. D: Contact lenses are not affected by isoniazid, so they will not be permanently stained.

Correct Answer: C

Rationale: In this scenario, the appropriate action to delegate to the experienced LPN/LVN is option C: Assist the client with basic activities of daily living (ADLs). The rationale for choosing option C is that assisting the client with basic ADLs directly addresses the nursing diagnosis of Ineffective Breathing Pattern in a practical way. By helping the client with activities such as bathing, dressing, and grooming, the LPN/LVN can ensure that the client conserves energy, minimizes exertion, and maintains optimal breathing patterns. Options A, B, and D are not the most appropriate actions to delegate in this case. Option A focuses on observing a specific breathing technique, which may not directly address the client's overall needs related to ADLs and breathing pattern. Option B involves planning a care regimen to increase activity tolerance, which is important but may not be as immediate or essential as assisting with ADLs. Option D, consulting with physical therapy about reconditioning exercises, is important for overall care but does not directly address the immediate ADL needs of the client with COPD and an Ineffective Breathing Pattern diagnosis. From an educational perspective, understanding the rationale behind delegating tasks based on client needs and nursing diagnoses is crucial for nurses and nursing students. It reinforces the importance of prioritizing care tasks, considering individual patient needs, and effective delegation within the healthcare team to provide comprehensive and patient-centered care.

Correct Answer: C

Rationale: In this multiple-choice question about the respiratory system, the correct answer is C) Percussion. Percussion is a technique used in physical examination to assess the density of underlying tissues by tapping on the body surface. Dullness and hyperresonance are abnormal findings that can be detected through percussion. Dullness indicates denser tissue, such as an organ, while hyperresonance indicates hollow or air-filled structures. Option A) Inspection involves visually examining the patient for any abnormalities, such as skin color or breathing pattern. Option B) Palpation involves using hands to feel for abnormalities like tenderness or masses. Option D) Auscultation involves listening to sounds produced by the body, such as breath and heart sounds. Understanding the correct assessment technique for specific abnormal findings is crucial in diagnosing respiratory conditions. By knowing the principles of percussion and recognizing the significance of dullness and hyperresonance, healthcare professionals can accurately assess and diagnose respiratory disorders. This knowledge is essential for medical students, nurses, and other healthcare providers to provide effective patient care.

Correct Answer: D

Rationale: In this scenario, option D is the correct answer because keeping a diary to record medication use, symptoms, peak expiratory flow rates, and activity levels is essential for effective asthma management. This practice helps in monitoring the response to treatment, identifying triggers, and making informed decisions about therapy adjustments. Option A is correct as it promotes the importance of regular exercise in maintaining asthma control through improved lung function and overall health. Option B is incorrect because using over-the-counter bronchodilators without consulting a healthcare provider can be dangerous and may mask underlying issues or delay appropriate treatment. Option C is incorrect as it is crucial not only to inform the spouse but also to educate the patient's entire support system about asthma management to ensure timely and effective assistance during an emergency. In an educational context, this question assesses the patient's understanding of asthma self-management strategies. It highlights the significance of patient education in asthma care to prevent exacerbations and enhance quality of life. By choosing option D, the patient demonstrates a comprehensive approach to managing their asthma, reflecting a deeper understanding of the condition and its treatment.