A nurse is preparing to administer insulin to a diabetic client. What is the most appropriate action for ensuring patient safety?

Use a standardized pediatric medication reference guide.

Rely on memory for dosage calculations.

Ask another nurse to double-check calculations.

Perform dosage calculations manually.

Answer and Explanation

The Correct Answer is C

Choice A rationale
Using a standardized pediatric medication reference guide is not appropriate for administering insulin to a diabetic client. Insulin dosages are typically based on the client’s blood glucose levels and individual needs, not standardized pediatric references. Ensuring patient safety requires accurate and individualized dosage calculations.
Choice B rationale
Relying on memory for dosage calculations is not a safe practice. Human memory is fallible, and errors in dosage calculations can have serious consequences for the client. It is essential to use reliable methods and double-check calculations to ensure accuracy and patient safety.
Choice C rationale
Asking another nurse to double-check calculations is the most appropriate action for ensuring patient safety. This practice helps to catch any potential errors and ensures that the correct dosage is administered. Double-checking calculations is a standard safety measure in medication administration.
Choice D rationale
Performing dosage calculations manually is important, but it should be combined with double- checking by another nurse. Manual calculations alone do not provide an additional layer of verification to catch potential errors. Ensuring patient safety requires both accurate calculations and verification by another healthcare professional.

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Correct Answer is C

Explanation

Choice A rationale
Sitting quietly and engaging the client can be supportive, but it may not be sufficient to establish rapport. While presence is important, it lacks the active engagement and therapeutic techniques needed to build a connection.
Choice B rationale
Using open-ended questions starting with “I want time to think and reflect” is not appropriate in this context. Open-ended questions are useful, but the phrasing here is not conducive to therapeutic communication and may confuse the client.
Choice C rationale
Using therapeutic communication techniques is the correct approach. These techniques include active listening, empathy, and validation, which are essential for building rapport and trust with the client. They help the client feel understood and supported.
Choice D rationale
Offering tissues and a comforting presence is supportive but not sufficient on its own. While it shows empathy, it does not actively engage the client in a therapeutic manner to establish rapport.

A. Client who has dysphagia. B. Client who asks about community resources. C. Client who will require oxygen at home. D. Client who wants a priest to visit while they are in the hospital.

Correct Answer is A

Explanation

Choice A rationale
A client who has dysphagia should be seen first because dysphagia can lead to serious complications such as aspiration, choking, and pneumonia. Immediate assessment and intervention are necessary to ensure the client’s airway is protected and to prevent potential respiratory distress.
Choice B rationale
A client who asks about community resources is important, but this is not an urgent need. This client can be seen after addressing more immediate clinical concerns.

Choice C rationale
A client who will require oxygen at home needs proper planning and education, but this can be addressed after ensuring the immediate safety of clients with urgent needs.
Choice D rationale
A client who wants a priest to visit while they are in the hospital is a valid request, but it is not an urgent clinical need. This can be arranged after addressing clients with more immediate health concerns.

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Nursing Test Bank

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