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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Refrigerating a midstream urine sample aligns with proper storage protocols, as it prevents degradation and ensures accurate results. This action adheres to infection control standards, minimizing contamination risks during specimen processing.
Choice B rationale
Cleaning with chlorhexidine following a blood spill adheres to effective infection control practices. Chlorhexidine is a potent antiseptic that eliminates pathogens and reduces infection risks, particularly after exposure to bloodborne microorganisms.
Choice C rationale
Alcohol-based antiseptic is ineffective against varicella zoster, which requires soap and water or antimicrobial agents to ensure decontamination. Misuse of antiseptics in this scenario poses an infection hazard as the nurse may inadvertently facilitate pathogen transmission.
Choice D rationale
Using sterile 0.9% sodium chloride irrigation solution is a standard wound-cleaning procedure, promoting sterility and minimizing infection risks. This practice aligns with aseptic techniques critical in specimen collection and wound care management. .
Correct Answer is A
Explanation
Choice A rationale
Spraying the extinguisher side to side covers the fire more effectively, cutting off oxygen and cooling burning materials. This technique ensures optimal fire suppression and aligns with PASS (Pull, Aim, Squeeze, Sweep) guidelines for extinguisher use.
Choice B rationale
Attempting to extinguish a fire before calling for help delays emergency response, increasing the risk of uncontrolled spread. Priority should be ensuring safety and contacting emergency services immediately to address the situation.
Choice C rationale
Smoke alarm batteries should be changed annually, not every 2 years, to maintain functionality and reduce the risk of failure. Regular battery maintenance ensures early fire detection and improves safety.
Choice D rationale
Class A extinguishers are designed for ordinary combustibles such as wood, paper, and cloth. Electrical fires require Class C extinguishers to safely interrupt electrical conductivity and extinguish flames without causing further hazards.
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