A home health nurse is visiting a client who has a new diagnosis of diabetes mellitus. Which of the following actions should the nurse take first?

Teach the client about appropriate food choices.

Refer the client to a diabetes mellitus support group.

Identify the client's dietary preferences.

Develop a nutritional program.

Answer and Explanation

The Correct Answer is C

Choice A reason: Teaching the client about appropriate food choices is an important intervention for diabetes mellitus, but it is not the first action the nurse should take. The nurse needs to assess the client's current dietary habits and preferences before providing education.

Choice B reason: Referring the client to a diabetes mellitus support group is a helpful strategy to promote coping and self-management, but it is not the first action the nurse should take. The nurse needs to address the client's immediate needs and priorities before making referrals.

Choice C reason: Identifying the client's dietary preferences is the first action the nurse should take. This is an assessment step that will help the nurse tailor the nutritional program to the client's individual needs and preferences. It will also help the nurse establish rapport and trust with the client.

Choice D reason: Developing a nutritional program is a planning step that requires assessment data. The nurse should not develop a nutritional program without first identifying the client's dietary preferences and needs.

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Correct Answer is A

Explanation

Choice A reason: Elevating the head of the bed can help ease breathing and promote comfort for a client who is near death. This position can reduce the work of breathing and help prevent aspiration, which is crucial for clients with diminished consciousness or swallowing reflexes.

Choice B reason: Offering ice chips may provide some moisture and comfort to the client, but it is not the primary action to promote comfort for a client who is near death. Ice chips should be used cautiously, especially if the client has difficulty swallowing or is unconscious.

Choice C reason: Turning the client every 4 hours is important to prevent pressure ulcers and promote circulation. However, for a client who is near death, repositioning should be done with consideration for the client's comfort and any pain they may be experiencing.

Choice D reason: Providing oral care every 6 hours can help maintain oral hygiene and comfort, especially if the client is unable to perform this task themselves. It can also help prevent infections and manage any discomfort from dryness or buildup in the mouth.

A. 11/15,000 B. 6/15,000 C. 11/11,000 D. 6/11,000

Correct Answer is A

Explanation

Choice A reason: This statement is true and relevant. The prevalence proportion is the number of existing cases of a disease divided by the total population at risk. In this case, the existing cases of diabetes mellitus are 11 (6 new cases plus 5 old cases), and the total population at risk is 15,000. Therefore, the prevalence proportion is 11/15,000, which can be simplified to 0.00073 or 0.073%.

Choice B reason: This statement is false and misleading. The prevalence proportion is not calculated by using only the new cases of a disease, but by using the total number of existing cases. Using only the new cases would result in an underestimation of the prevalence proportion.

Choice C reason: This statement is false and misleading. The prevalence proportion is not calculated by using the difference between the total population and the existing cases of a disease, but by using the total population at risk. Using the difference would result in an overestimation of the prevalence proportion.

Choice D reason: This statement is false and misleading. The prevalence proportion is not calculated by using both the difference between the total population and the existing cases of a disease and the new cases of a disease, but by using the total number of existing cases and the total population at risk. Using both the difference and the new cases would result in an incorrect calculation of the prevalence proportion.

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A home health nurse is visiting a client who has a new diagnosis of diabetes mellitus. Which of the following actions should the nurse take first?

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Naxlex Comprehensive Predictor Exams

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Explanation

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