A nurse is observing an assistive personnel (AP) providing care to a group of clients.
Which of the following actions by the AP requires intervention by the nurse?

 

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.

Choice A rationale

Developing a nutritional teaching plan does not specifically address the preparation for an interprofessional meeting. While dietary adjustments can support wound healing, this task does not encompass the collaborative planning and data sharing required for the meeting. Data collection to assess the client's needs would better prepare the nurse to contribute effectively to the team's planning and decision-making.

Choice B rationale

Creating a collaborative plan of care is an essential outcome of the interprofessional team meeting, but generating this plan beforehand without consulting team members undermines the collaborative process. Interprofessional meetings aim to combine diverse expertise in developing a unified plan, making preemptive planning counterproductive in fostering effective teamwork.

Choice C rationale

Investigating home care services does not directly prepare the nurse for the interprofessional meeting, as this action addresses discharge planning rather than contributing immediate insights into the client's current rehabilitation needs. Home care services may be relevant later but are secondary to data collection pertinent to the client's present functional status and recovery.

Choice D rationale

Collecting data about the client's self-care needs provides objective information crucial for the interprofessional discussion. Understanding the level of assistance required helps the team make informed decisions about care strategies and resource allocation. This action ensures the nurse contributes relevant insights into the client's current capabilities, facilitating targeted planning for optimal recovery outcomes. .