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.

Answer and Explanation

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

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Correct Answer is B

Explanation

Choice A rationale

Discussing the risks of being homeless with the client is an important part of understanding their situation, but it is not the nurse’s initial action when caring for a client who is homeless. The nurse’s initial action should be to establish trust and understand the client’s perspective.

Choice B rationale

This is the correct answer. Determining the client’s understanding of their living situation is the nurse’s initial action when caring for a client who is homeless. This helps the nurse to understand the client’s perspective and to tailor care to meet the client’s unique needs.

Choice C rationale

Assisting the client to develop goals for obtaining shelter is an important part of the care plan for a client who is homeless, but it is not the nurse’s initial action. The nurse’s initial action should be to establish trust and understand the client’s perspective.

Choice D rationale

Developing client teaching using a variety of strategies is an important part of nursing care, but it is not the nurse’s initial action when caring for a client who is homeless. The nurse’s initial action should be to establish trust and understand the client’s perspective.

A. Airborne precautions. B. Protective environment. C. Contact precautions. D. Droplet precautions.

Correct Answer is A

Explanation

Choice A rationale

Airborne precautions are recommended for a client who has laryngeal tuberculosis. This is because tuberculosis is an airborne disease, meaning it is spread through the air when a person with active tuberculosis in their lungs or throat coughs, sneezes, speaks, or sings.

Choice B rationale

A protective environment is not specifically required for a client with laryngeal tuberculosis. This type of precaution is typically used for patients who are severely immunocompromised, such as those undergoing stem cell transplants.

Choice C rationale

Contact precautions are not necessary for a client with laryngeal tuberculosis. These precautions are used for diseases that are spread by direct or indirect contact, which is not the case with tuberculosis.

Choice D rationale

Droplet precautions are not recommended for a client with laryngeal tuberculosis. These precautions are used for diseases that are spread through droplets in the air, such as influenza or pertussis, but tuberculosis requires airborne precautions due to the smaller size and longer airborne life of the tuberculosis bacteria.

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A home health nurse is visiting a client who has recently been diagnosed with diabetes mellitus. What should be the nurse’s initial action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is homeless. What should be the nurse’s initial action?

Correct Answer is B

Explanation

What isolation precautions should be recommended for a client who has laryngeal tuberculosis?

Correct Answer is A

Explanation

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