A nurse is caring for a client who has type 1 diabetes mellitus.
Which of the following actions should the nurse take first when providing morning care?

Check the calibration of the glucometer.

Administer prescribed insulin.

Provide the client's breakfast.

Obtain the client's capillary blood glucose level.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Checking the calibration of the glucometer ensures accurate blood glucose readings. Calibration is essential to identify potential technical errors that could lead to inaccurate readings, compromising client care. However, this action is preparatory and does not directly address the immediate need to assess the client’s current glucose level for appropriate management.

Choice B rationale

Administering prescribed insulin is critical for controlling blood glucose levels in clients with type 1 diabetes. Insulin administration prevents complications like hyperglycemia or ketoacidosis. However, insulin should be administered based on the client’s current blood glucose level, which must be assessed first to ensure the correct dose and timing.

Choice C rationale

Providing breakfast is important to prevent hypoglycemia and support the client’s nutritional needs. However, breakfast timing must align with insulin administration to optimize glucose control. Assessing the client’s blood glucose level first is essential to determine whether immediate nutritional intervention is required.

Choice D rationale

Obtaining the client’s capillary blood glucose level is the first step in managing diabetes effectively. This action allows the nurse to evaluate the client’s current glucose status, guide insulin administration, and ensure safe provision of meals. Accurate glucose measurement is essential to prevent complications such as hypo- or hyperglycemia.

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Correct Answer is A

Explanation

Choice A rationale

Difficulty swallowing, or dysphagia, places the client at risk for aspiration, which can lead to pneumonia or airway obstruction. This finding is a priority because it directly affects the client’s respiratory and nutritional status, requiring immediate intervention.

Choice B rationale

Increased difficulty dressing indicates progression in motor dysfunction associated with Parkinson’s disease. While important for assessing long-term care needs, it does not pose an immediate threat to the client’s health compared to swallowing difficulties.

Choice C rationale

Insomnia may affect the client’s quality of life but is not life-threatening or urgent compared to dysphagia, which requires more immediate attention and management.

Choice D rationale

Needing additional help to stand reflects mobility challenges but does not pose an immediate risk to safety or health compared to swallowing difficulties, which have a higher priority for intervention.

A. Ask each staff nurse for information about the problem. B. Listen to what concerns each staff nurse. C. Discuss ways to resolve and meet the needs of each staff nurse. D. Move the staff nurses to a private area.

Correct Answer is B

Explanation

Choice A rationale

Asking for information about the problem involves problem-focused inquiry. While gathering facts is essential, it is not a conflict resolution technique. This approach lacks initial engagement with the individuals’ concerns, making it less effective for addressing emotional or interpersonal aspects of the conflict.

Choice B rationale

Listening to concerns is vital for understanding the underlying causes of the conflict. Active listening facilitates trust, diffuses tension, and enables identification of common ground. This initial step creates an open dialogue, allowing for effective resolution strategies later.

Choice C rationale

Discussing ways to resolve issues prematurely assumes understanding of the conflict’s root causes. Effective resolution requires thorough exploration of concerns and building rapport before proposing solutions. Jumping to solutions might overlook nuanced emotional dynamics.

Choice D rationale

Moving staff nurses to a private area focuses on location rather than the conflict itself. While privacy aids confidentiality, immediate attention to the conflict’s dynamics is more crucial. Addressing emotional concerns ensures meaningful resolution.

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A nurse is caring for a client who has type 1 diabetes mellitus.Which of the following actions should the nurse take first when providing morning care?

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A nurse is caring for a client who has type 1 diabetes mellitus.
Which of the following actions should the nurse take first when providing morning care?