A nurse is caring for a client with type 1 diabetes who is being discharged home tomorrow. What is the best way to assess the client's ability to prepare and self- administer insulin?
Ask the client to describe the process in detail.
Observe the client drawing up and administering the insulin.
Provide a health education session reviewing the main points of insulin delivery.
Review the client's first hemoglobin A1c result after discharge.
The Correct Answer is B
A. Verbal explanation shows understanding but does not confirm the client can perform the skill correctly.
B. Direct observation allows the nurse to accurately assess the client’s technique, identify any errors, and provide immediate feedback — making it the most effective method.
C. Education is important but does not evaluate the client's skill performance.
D. Hemoglobin A1c reflects long-term glucose control and cannot assess immediate insulin administration competency, especially prior to discharge.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Fried chicken is high in fat and should be avoided in clients with acute gallbladder inflammation (cholecystitis), as fatty foods can exacerbate symptoms like pain and nausea.
B. Mashed potatoes are low in fat and generally well tolerated if prepared without heavy cream or butter.
C. A dinner roll is typically low in fat and safe for someone on a low-fat diet.
D. Tapioca pudding is a low-fat dessert and appropriate for a client with gallbladder inflammation.
Correct Answer is A
Explanation
A. Cardiac dysrhythmias are a serious complication of hypokalemia (potassium <3.5 mEq/L), especially in clients taking loop diuretics like furosemide, which increase potassium excretion. Monitoring heart rhythm is essential.
B. Hypoglycemia is not directly associated with low potassium or furosemide.
C. Seizures are more commonly linked to hyponatremia or severe hypocalcemia, not mild hypokalemia.
D. Neurogenic shock is typically caused by spinal cord injury, not by electrolyte imbalance.
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