A nurse is reinforcing discharge teaching with a client following outpatient cataract surgery.
Which of the following instructions should the nurse include in the teaching?

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

Removing gloves outside an isolation room increases contamination risk by allowing pathogens to spread to other surfaces or areas. Standard precautions require immediate disposal of gloves inside isolation rooms to maintain strict infection control measures.

Choice B rationale

Encouraging clients to look down during ambulation aids balance and reduces fall risks. This recommendation follows safety guidelines and does not indicate incorrect AP behavior requiring intervention or correction by the nurse.

Choice C rationale

Maintaining a water temperature of 40° C (104° F) aligns with best practices for foot care, ensuring comfort and preventing skin damage. It does not necessitate intervention since this is a safe and appropriate nursing action.

Choice D rationale

Applying water-soluble lubricant to the nares reduces dryness from oxygen therapy, improving patient comfort. This practice aligns with evidence-based guidelines for oxygen care and does not warrant nurse intervention as it enhances client outcomes.