A nurse designs a series of four weekly classes for clients with type 2 diabetes mellitus. Which information should the nurse use as an outcome evaluation for the classes?
Discussion of food exchanges and calories was a well-attended class.
Parking convenience for attendees continued to be a major concern.
Demonstrating the use of a blood glucose meter was an effective teaching strategy.
Fasting blood glucose average readings were 20% lower at the end of the classes.
The Correct Answer is D
Answer and explanation The correct answer is D. Choice A rationale
While the discussion of food exchanges and calories being well-attended indicates interest and engagement in the class, it does not necessarily reflect an improvement in the clients’ management of their diabetes.
Choice B rationale
Parking convenience for attendees, while important for accessibility and attendance, does not provide information about the effectiveness of the classes in improving diabetes management.
Choice C rationale
Demonstrating the use of a blood glucose meter can be an effective teaching strategy, but it does not provide measurable outcomes related to the clients’ diabetes control.
Choice D rationale
Fasting blood glucose average readings being 20% lower at the end of the classes is a direct and measurable outcome that indicates improved diabetes control. This suggests that the classes were effective in teaching clients how to better manage their type 2 diabetes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Answer and explanation The correct answer is B. Choice A rationale
Applying oxygen via a nasal cannula might help alleviate the client’s shortness of breath, but it does not address the potential cause of the client’s symptoms.
Choice B rationale
Given the client’s symptoms and potential exposure to an unknown substance, it is crucial to monitor his vital signs and cardiorespiratory status. This will help healthcare providers detect any changes in the client’s condition and respond appropriately.
Choice C rationale
Infusing IV fluid boluses might be necessary if the client is dehydrated, but there is no indication of this in the scenario.
Choice D rationale
Administering antiviral medication would be appropriate if the client were confirmed to have a viral infection. However, the client’s symptoms and history suggest a potential exposure to an unknown substance, which requires further evaluation.
Correct Answer is B
Explanation
Answer and explanation The correct answer is B. Choice A rationale
Having the 16-month-old child play in another room during breastfeeding might not be feasible or safe, depending on the child’s maturity and the safety of the environment.
Choice B rationale
Reading a book to the 16-month-old child while the mother is breastfeeding the infant can be a practical solution. It allows the mother to attend to both children simultaneously, keeping the older child engaged while tending to the infant.
Choice C rationale
While watching TV might keep the toddler occupied, it’s not the best option. Excessive screen time is not recommended for children at this age.
Choice D rationale
Giving the toddler crayons and paper is a good idea, but it might not keep the child engaged for the entire duration of the breastfeeding.
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