A nurse is developing a teaching plan for a patient who has a new diagnosis of type 2 diabetes mellitus. Which of the following actions should the nurse plan to take first?

Give the patient access to a video about diabetes.

Determine what the patient knows about managing diabetes.

Establish short-term, realistic goals for the patient.

Evaluate the effectiveness of the patient's admission teaching plan.

Answer and Explanation

The Correct Answer is B

A. Give the patient access to a video about diabetes. – Incorrect. Educational materials are helpful but should be provided after assessing the patient's current knowledge level.

B. Determine what the patient knows about managing diabetes. – Correct Answer. The first step in teaching is to assess the patient's baseline knowledge to tailor the education to their needs.

C. Establish short-term, realistic goals for the patient. – Incorrect. Goal-setting is important but should come after assessing the patient’s knowledge and readiness to learn.

D. Evaluate the effectiveness of the patient's admission teaching plan. – Incorrect. The nurse should first determine what new information needs to be taught before evaluating previous teaching.

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Correct Answer is A

Explanation

A. Alert and oriented, blood and urine without ketones, no orthostatic blood pressure changes – These findings indicate improved hydration, resolution of hyperosmolarity, and recovery of neurological function, key markers of HHS improvement.

B. Alert and oriented, balanced intake and output, moist mucous membranes – While improved hydration is good, ketone clearance and hemodynamic stability are more important indicators.

C. Respirations easy and unlabored, eats 50-75% of meals, vital signs stable – Respiratory status is not the primary concern in HHS.

D. Equal intake and output, denies pain or shortness of breath – These signs do not specifically indicate resolution of HHS.

A. Performing hand hygiene before, during, and after direct contact with the patient B. Encouraging the patient to consume a high-protein diet C. Changing the patient's bed linens each day D. Do not allow any visitors in the patient's room

Correct Answer is A

Explanation

A. Proper hand hygiene disrupts the transmission of pathogens and is the primary infection control strategy.

B. A high-protein diet helps with recovery but does not directly prevent transmission.

C. While hygiene is important, daily linen changes are not the primary preventive measure.

D. Restricting visitors is only necessary for highly contagious infections.

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A nurse is developing a teaching plan for a patient who has a new diagnosis of type 2 diabetes mellitus. Which of the following actions should the nurse plan to take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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