A home health nurse is visiting a client who has recently been diagnosed with diabetes mellitus. What should be the nurse’s initial action?
Refer the client to a diabetes mellitus support group.
Identify the client’s dietary preferences.
Develop a nutritional program.
Teach the client about appropriate food choices.
The Correct Answer is B
The correct answer is Choice B
Choice A rationale: Referring the client to a diabetes mellitus support group is beneficial but not the initial action. The nurse should first gather information about the client's preferences and needs to tailor the intervention effectively.
Choice B rationale: Identifying the client's dietary preferences is essential for developing a personalized nutritional plan. Understanding the client's likes, dislikes, and cultural factors ensures that dietary recommendations are realistic and sustainable, promoting better adherence and management of diabetes.
Choice C rationale: Developing a nutritional program is a crucial step but should follow the assessment of the client's dietary preferences. A personalized approach based on the client's individual needs and lifestyle is necessary for effective diabetes management.
Choice D rationale: Teaching the client about appropriate food choices is important but should be done after understanding the client's dietary preferences. This ensures that the education is relevant and practical, helping the client make informed decisions about their diet
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Storing used syringes in a biohazard bag before discarding is not the recommended method for disposal of insulin syringes. Used needles and other sharps are considered medical waste and should be placed in FDA-cleared sharps disposal containers.
Choice B rationale
This is the correct answer. Used syringes should be discarded in a hard, plastic container, such as a detergent bottle or a sharps container. These containers prevent needle-stick injuries during the disposal process.
Choice C rationale
Taking containers of used syringes to the local recycling center is not a safe or recommended method for disposal of insulin syringes. Used needles and other sharps are considered medical waste and should not be recycled.
Choice D rationale
While wearing gloves can provide an extra layer of protection when handling used syringes, it is not a sufficient method for safe disposal. Used syringes should be immediately placed in a hard, plastic container after use.
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale: Herpes zoster, also known as shingles, is not a notifiable disease. It is caused by the varicella-zoster virus, the same virus that causes chickenpox. After a person recovers from chickenpox, the virus stays dormant in the body and can reactivate years later, causing shingles.
Choice B rationale: Elevated lead levels in a child is a notifiable condition. Lead poisoning can cause serious health problems, particularly in children, and public health departments track cases to identify sources of lead and prevent further exposure.
Choice C rationale: Streptococcus pyogenes, also known as Group A Streptococcus, can cause a variety of infections, some of which are notifiable diseases. These include invasive Group A Streptococcal disease and streptococcal toxic shock syndrome.
Choice D rationale: Tuberculosis is a notifiable disease. The Mantoux tuberculin skin test is used to detect tuberculosis infection. A reddish induration greater than 10mm, especially in a client with symptoms of tuberculosis and a history of travel to an area where tuberculosis is endemic, is suggestive of tuberculosis infection.
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