Dif cognitive level application top nursing process

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DIF:Cognitive Level: ApplicationTOP: Nursing Process: Implementation11.The nurse is providing preoperative teaching to an older-adult client who has poor hearingand vision. The partner answers most questions directed to the client. Which of thefollowing actions should the nurse take when implementing client teaching?a.Use printed materials for instruction so that the client will have more time toreview the material.b.Direct the teaching toward the partner as the client’s support person and caregiver.c.Provide additional time for the client to understand preoperative instructions andcarry out procedures.d.Ask the partner to wait in the hall in order to focus preoperative teaching with theclient.ANS: CThe nurse should allow more time when doing preoperative teaching and preparation forolder clients with sensory deficits. Because the client has visual deficits, he will not beable to use written material for learning. The teaching should be directed toward both theclient and the wife because both will need to understand preoperative procedures andteaching.
DIF:Cognitive Level: ApplicationTOP: Nursing Process: Implementation12.The nurse is caring for a client with diabetes who is scheduled for a mastectomy at 1:00PM today and it is now 8:30 AM. The client uses insulin to control blood glucose and hasbeen NPO since midnight. Which of the following actions should the nurse take?
b.Obtain a blood glucose measurement before any insulin administration.c.Administer the usual insulin dose because stress will increase the blood glucose.d.Administer a lower dose of insulin because there will be no oral intake beforesurgery.ANS: BPreoperative insulin administration is individualized to the client, and the current bloodglucose will provide the most reliable information about insulin needs. It is not possible topredict whether the client will require no insulin, a lower dose, or a higher dose withoutblood glucose monitoring.DIF:Cognitive Level: ApplicationTOP: Nursing Process: Implementation13.The clinic nurse is reviewing thecompletebloodcell count (CBC) results for a client whois scheduled for surgery in a few days. The results arewhitebloodcell count (WBC)10.2109/L; hemoglobin 150 g/L; hematocrit 45%; platelets 150109/L. Which ofthe following actions should the nurse take?

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