A nurse implemented a new method of teaching clients about self-administration of insulin six months ago. Which of the following findings indicates the new method is effective?

HDL levels decreased

Blood glucose levels increased

HbA1C numbers decreased

Incidents of lipohypertrophy increased

Answer and Explanation

The Correct Answer is C

A. A decrease in HDL (high-density lipoprotein) levels would indicate a worsening lipid profile, which is not directly related to the effectiveness of insulin administration training.

B. An increase in blood glucose levels would indicate poor glycemic control, suggesting the teaching method was not effective in helping clients manage their insulin properly.

C. A decrease in HbA1C reflects better long-term blood glucose control, indicating that the new teaching method for insulin administration is effective. HbA1C levels provide a clearer picture of blood sugar management over time.

D. An increase in incidents of lipohypertrophy would suggest improper insulin injection technique, as this condition occurs when injections are repeatedly administered in the same spot. This would indicate ineffective teaching.

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Correct Answer is A

Explanation

A. Requiring assistance with dressing indicates a need for support with activities of daily living (ADLs), which is within the scope of occupational therapy.

B. Extreme difficulty swallowing is more appropriately addressed by a speech-language pathologist rather than an occupational therapist, as it relates to swallowing function.

C. Dysarthria, a speech disorder, also falls under the expertise of a speech-language pathologist who specializes in communication disorders, not occupational therapy.

D. Having four new medications does not directly indicate a need for occupational therapy; it may require monitoring by nursing or pharmacy for medication management.

A. Review the intended purpose of the prescribed medications with the client. B. Call the provider to clarify the client's prescribed medications. C. Consult the pharmacist about the client's prescribed medications. D. Compare the client's medication administration record with the prescriptions on the transfer orders.

Correct Answer is A

Explanation

A. Reviewing the intended purpose of the medications with the client addresses their concerns and helps them understand the rationale behind the prescribed treatment, which is essential in promoting adherence.

B. While it may be necessary to call the provider for clarification, the immediate step is to engage the client in conversation about their medications.

C. Consulting the pharmacist could provide additional information about the medications, but the first action should be to communicate with the client directly.

D. Comparing the medication administration record with the prescriptions is important for accuracy but does not address the client’s immediate concern about the medications.

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A nurse implemented a new method of teaching clients about self-administration of insulin six months ago. Which of the following findings indicates the new method is effective?

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