A nurse is assisting with developing a discharge plan for a client who has a new diagnosis of diabetes mellitus. The client is independent and lives alone. Which of the following interventions should the nurse plan to include?
Provide the client with 1 week's supply of insulin syringes.
Arrange for a home health nurse to visit the client daily.
Notify the family of the client's health status.
Refer the client to a diabetic support group.
The Correct Answer is D
A. Provide the client with 1 week's supply of insulin syringes: While supplying necessary equipment is part of discharge planning, providing only a one-week supply may not be sufficient for ongoing self-management. Clients should receive instruction on obtaining refills and maintaining adequate supplies, rather than limiting to a short-term provision.
B. Arrange for a home health nurse to visit the client daily: Daily home health visits are generally reserved for clients who are dependent or unable to safely manage insulin administration or blood glucose monitoring. Since this client is independent and capable of self-care, daily visits are not necessary.
C. Notify the family of the client's health status: For an independent adult, sharing medical information with family requires client consent. Unless the client requests it, notifying family is not an appropriate routine intervention and may violate privacy regulations.
D. Refer the client to a diabetic support group: Referral to a support group provides education, emotional support, and strategies for managing diabetes independently. Participation helps the client build self-efficacy, learn practical skills, and connect with others managing the condition, making it a valuable intervention for discharge planning.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "You should follow the label directions based on your child's weight.": While dosing medications based on weight is generally appropriate, aspirin is not recommended for children or adolescents due to the risk of Reye’s syndrome, a rare but serious condition affecting the liver and brain after viral infections.
B. "You should avoid administering aspirin to your child.": This is the safest and most accurate response. Aspirin should not be given to children under 18, particularly following viral illnesses or immunizations, because of the association with Reye’s syndrome. Acetaminophen or ibuprofen are preferred for fever management in toddlers.
C. "Your child will require an antibiotic if she develops a fever.": Fever after immunization is usually a benign, self-limited response. Antibiotics are not indicated unless there is evidence of a bacterial infection. Providing this information could cause unnecessary concern or inappropriate antibiotic use.
D. "Your child can have two baby aspirins every 4 hours.": Recommending aspirin in a toddler is unsafe due to the risk of Reye’s syndrome. Providing a specific dose encourages potentially harmful practice and is contraindicated in pediatric care.
Correct Answer is B
Explanation
A. Assist the client with positioning for an ultrasound: Positioning for ultrasound is part of the preparation for amniocentesis, not a post-procedure intervention. After the procedure, the priority is monitoring the client for complications rather than repeating imaging unless clinically indicated.
B. Monitor the client for placental abruption: Amniocentesis carries a small risk of complications such as bleeding, cramping, or placental injury. Monitoring the client for signs of placental abruption, including vaginal bleeding, abdominal pain, and uterine tenderness, is an appropriate post-procedure action to ensure early detection and intervention.
C. Administer Rh.D immune globulin to the client: Administration of Rh.D immune globulin is indicated for Rh-negative clients to prevent isoimmunization. Since this client is Rh-positive, they do not require Rh immunoglobulin, so this action is not necessary.
D. Obtain an umbilical blood sample from the fetus: Umbilical blood sampling (cordocentesis) is a separate diagnostic procedure and is not part of routine amniocentesis. Post-procedure care focuses on maternal monitoring and fetal well-being rather than obtaining fetal blood immediately.
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