Level: Advanced
Difficulty: Hard
Subtopic: Capstone transition
NCLEX: A senior nursing student during a supervised medication pass is being evaluated for transition-to-practice skills…
Professional nursing practice (clinical transition) Management of Care
Case Study
A senior nursing student during a supervised medication pass is being evaluated for transition-to-practice skills and capstone transition. Assessment data include simulation data show worsening respiratory distress after the first intervention. The nurse is evaluating discharge teaching. Which client statement shows correct understanding?
Question
A. "I will stop my medications when I feel better."
B. "I do not need to report mild symptoms unless they become unbearable."
C. "The nurse does not need to know about changes unless the provider asks."
D. "I will call the nurse if I have new or worse symptoms before my follow-up appointment."
B. "I do not need to report mild symptoms unless they become unbearable."
C. "The nurse does not need to know about changes unless the provider asks."
D. "I will call the nurse if I have new or worse symptoms before my follow-up appointment."
Rationale
Correct answer: D. "I will call the nurse if I have new or worse symptoms before my follow-up appointment."
Rationale: Effective teaching includes when to seek help for worsening symptoms. Stopping medications or delaying reports are unsafe.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.
Rationale: Effective teaching includes when to seek help for worsening symptoms. Stopping medications or delaying reports are unsafe.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.