A home health nurse is making an initial assessment visit to an adult client who has type 1 diabetes mellitus. Which of the following statements should the nurse make to evaluate the client's ability to measure blood glucose accurately?

"Please use your glucometer and show me the results."

"Please tell me how long you have been using this glucometer."

"These blood glucose results you've written down do not seem correct."

"Let me show you how to use this glucometer, so you can see if this is how you've been using it."

Answer and Explanation

The Correct Answer is A

A. "Please use your glucometer and show me the results.": Asking the client to demonstrate their technique provides the nurse with direct observation of how the client performs the skill. This allows the nurse to assess for errors in preparation, technique, or interpretation and ensures the client can perform self-monitoring correctly in their own home environment.

B. "Please tell me how long you have been using this glucometer.": Knowing the duration of glucometer use may provide some background information, but it does not show whether the client has the correct technique.

C. "These blood glucose results you've written down do not seem correct.": Telling the client their documented results seem wrong may come across as judgmental and could discourage openness. It also does not provide a clear assessment of the client’s ability to use the glucometer properly.

D. "Let me show you how to use this glucometer, so you can see if this is how you've been using it.": Demonstrating the procedure yourself first may help teach, but it does not initially allow the nurse to evaluate how the client is actually performing the task.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Speech-language pathologist: Clients with dysphagia benefit most from a referral to a speech-language pathologist, who specializes in assessing swallowing ability and providing strategies or diet modifications to reduce aspiration risk.

B. Respiratory therapist: A respiratory therapist assists with breathing treatments, oxygen management, and airway clearance. While aspiration can affect the lungs, preventing aspiration requires swallowing assessment, not respiratory therapy.

C. Occupational therapist: An occupational therapist helps clients improve skills for daily living, such as self-feeding techniques. While supportive, this does not directly assess or correct the swallowing dysfunction that causes aspiration risk.

D. Social services: Social services provide support for discharge planning, financial assistance, and psychosocial needs. They do not play a role in evaluating or treating swallowing difficulties related to dysphagia.

A. A client who needs their daily weight taken with a bed scale B. A client who has a leg ulcer and needs their dressing changed C. A client who has an indwelling urinary catheter bag that needs to be emptied D. A client who has dysphagia and has a scheduled feeding

Correct Answer is D

Explanation

A. A client who needs their daily weight taken with a bed scale: Daily weight is important for monitoring fluid status, but it is not immediately life-threatening if delayed. This task can be completed after more urgent client needs are addressed.

B. A client who has a leg ulcer and needs their dressing changed: Dressing changes are important for preventing infection and promoting healing, but this intervention is not urgent compared to risks involving airway or nutrition.

C. A client who has an indwelling urinary catheter bag that needs to be emptied: Emptying a catheter bag helps with comfort and infection control but does not represent a priority safety concern. It can safely wait until more urgent tasks are completed.

D. A client who has dysphagia and has a scheduled feeding: Dysphagia places the client at high risk for aspiration during feeding, which can compromise the airway and lead to respiratory complications. This client requires the nurse’s immediate attention to ensure safe feeding.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Body System	Findings
Gastrointestinal	Client reports abdominal pain as a 9 on a pain scale of 0 to 10. Abdomen is distended and firm. Bowels sounds are distant and hypoactive.
Integumentary	Skin is warm and dry. Perianal skin is excoriated, and small ulceration is noted.
Fluid balance	Tenting of skin for 4 seconds is noted. Capillary refill is 2 seconds. Temperature 38.7° C (101.7° F) Mucous membranes are dry. Respiratory rate 20/min

A home health nurse is making an initial assessment visit to an adult client who has type 1 diabetes mellitus. Which of the following statements should the nurse make to evaluate the client's ability to measure blood glucose accurately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has dysphagia and is at risk for aspiration. Which of the following referrals should the nurse make?

Correct Answer is A

Explanation

A nurse is receiving a change-of-shift report for a group of clients. Which of the following clients should the nurse plan to see first?

Correct Answer is D

Explanation

A nurse is caring for a client who is disoriented and is continuously getting out of bed. Which of the following actions should the nurse take? (Select all that apply.)

A nurse is providing teaching about cough etiquette to a client who has influenza. Which of the following instructions should the nurse include in the teaching?

A nurse is preparing to administer an opioid medication to a client who is experiencing pain. Which of the following actions should the nurse take?

A nurse is caring for a client who reports having insomnia due to increased stress. Which of the following actions should the nurse take first?

A nurse is caring for a client who had a stroke and is immobile. Which of the following actions should the nurse take to maintain the client's skin integrity?

A nurse is performing a family assessment for a client who has recently developed paraplegia following a stroke. Which of the following actions should the nurse take first?

A nurse is assessing a client for hearing acuity by performing the Rinne test. Which of the following actions should the nurse take?