A nurse is providing teaching for a client who has diabetes and a new prescription for Insulin glargine. Which of the following instructions should the nurse provide regarding this type of insulin?

A. The charge nurse should follow the staff closely and tell them every single thing they could possibly be doing wrong:

Micromanaging and focusing solely on the negatives can create a stressful and demoralizing work environment. This approach is less likely to motivate and inspire staff.

B. Make the staff aware that all errors will be severely punished:

A punitive approach to errors can create a culture of fear and may not foster a supportive environment for learning and improvement. It can lead to decreased morale and job satisfaction.

C. Acknowledge staff accomplishments when warranted and provide positive feedback:

This is the most effective approach. Recognizing and acknowledging staff achievements, providing positive feedback, and celebrating successes contribute to a positive work environment. It motivates staff to continue their efforts and fosters a culture of teamwork and collaboration.

D. Provide negative feedback with all errors:

While constructive feedback is essential for learning and improvement, a balance between constructive criticism and positive reinforcement is crucial. Constant negative feedback without recognition of positive efforts can lead to decreased morale.

A. Applying a cold pack to the client's upper arm is not the first action. The priority is to assess and address the cause of the edema. Cold packs may be used for comfort, but they do not address the underlying issue.

B. Removing the PICC line is not the first action. Before considering removal, it is essential to assess the extent and cause of the edema. Removing the line without proper evaluation could lead to premature discontinuation of necessary treatment.

C. Notifying the provider who inserted the PICC line is important, but it is not the first action. The nurse needs to assess and intervene promptly. The provider should be informed after initial actions are taken.

D. Stopping the infusion and measuring the circumference of both upper arms is the first action. This helps determine the extent of the edema and whether it is related to the infusion. It is crucial to assess for complications such as infiltration or extravasation of the TPN solution.