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.

Answer and Explanation

The Correct Answer is A

A.   Correct. Providing the client with a one-week supply of insulin syringes ensures they have the necessary equipment to administer insulin independently at home. This supports the client's independence while managing their diabetes.
B.   Incorrect. While home health visits may be appropriate for some clients with diabetes, arranging daily visits may not be necessary for an independent client who is capable of managing their condition on their own.
C.   Incorrect. Notifying the family of the client's health status may be appropriate in certain situations, but it is not essential for an independent client who is capable of managing their diabetes independently.
D.   Incorrect. While joining a diabetic support group can be beneficial for many individuals with diabetes, it may not be necessary for all clients, especially those who are independent and prefer to manage their condition on their own.

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Correct Answer is A

Explanation

- Rationale for A: Serving meals with plastic utensils is a safety measure to prevent self-harm. Metal utensils can be used as weapons, so plastic is a safer alternative. This action reflects the priority of maintaining a safe environment for the client.
- Rationale for B: Assigning another client to accompany the client to therapy sessions is not advisable. It may violate privacy and confidentiality, and it is not the responsibility of other clients to monitor safety.
- Rationale for C: Assigning the client to a private room could be beneficial for monitoring purposes, but it does not directly prevent self-harm. It is also important to consider that constant observation is necessary regardless of room assignment.
- Rationale for D: Checking on the client every 4 hours is not sufficient for a client who is at high risk for suicide. More frequent monitoring is needed to ensure the client's safety and to intervene promptly if necessary.

A. Massage areas around the edge of the client's cast with lotion. B. Avoid elevating the extremity when the client is resting in bed. C. Give the client a dull object to scratch the skin under the cast. D. Tell the client to expect numbness in their toes.

Correct Answer is C

Explanation

A. Massaging areas around the edge of the cast with lotion can introduce moisture, which may weaken the cast and increase the risk of skin breakdown or infection. It's important to avoid
introducing foreign substances under the cast.

B. Elevating the extremity when the client is resting in bed is important for reducing swelling and promoting circulation. However, this action is unrelated to addressing itching under the cast.
C. Giving the client a dull object to scratch the skin under the cast can provide relief from itching without compromising the integrity of the cast or increasing the risk of infection.
D. Numbness in the toes is not an expected sensation related to wearing a cast and should be reported to the healthcare provider as it could indicate compromised circulation or nerve damage.

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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?

Nursing Test Bank

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