A nurse is teaching a client to administer insulin.
The nurse should identify which of the following actions as a priority?
Assess the client’s readiness for learning.
Ask the client to demonstrate the injection technique.
Show the client how to draw up the insulin in a syringe.
Develop short-term goals for the client in the teaching plan.
The Correct Answer is B
Choice A rationale
Assessing the client’s readiness for learning is important, but it is not the priority action when teaching a client to administer insulin. The priority is to ensure the client can perform the task correctly to manage their condition effectively.
Choice B rationale
Asking the client to demonstrate the injection technique is the correct answer. This action ensures that the client has understood the instructions and can perform the task correctly, which is crucial for their safety and effective management of their diabetes.
Choice C rationale
Showing the client how to draw up the insulin in a syringe is an important step in the teaching process, but it is not the priority action. The priority is to ensure the client can perform the injection technique correctly.
Choice D rationale
Developing short-term goals for the client in the teaching plan is important for overall education and management, but it is not the priority action when teaching a client to administer insulin. The priority is to ensure the client can perform the injection technique correctly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Encouraging the patient to rely on their knowledge is not sufficient. Patients may not have the necessary understanding or skills to manage a new medication safely. It is important for the nurse to provide comprehensive education on the medication.
Choice B rationale
Reviewing the medication administration technique with the patient ensures they understand how to take the medication correctly. This includes the dosage, timing, and any specific instructions related to the medication. Proper education helps prevent medication errors and promotes adherence to the prescribed regimen.
Choice C rationale
Instructing the patient to avoid contacting healthcare providers with questions is incorrect. Patients should be encouraged to reach out to their healthcare providers if they have any questions or concerns about their medication. This ensures they have the support they need to manage their medication safely.
Choice D rationale
Providing the patient with written instructions only is not sufficient. While written instructions are helpful, they should be supplemented with verbal education and a demonstration if necessary. This ensures the patient fully understands how to take their medication and can ask questions if needed.
Correct Answer is D
Explanation
Choice A rationale
Calculating intake and output for the unit is a task that can be delegated to an LVN or UAP. It does not require the advanced clinical judgment and skills of an RN.
Choice B rationale
Inserting an NGT (nasogastric tube) for a client who is unable to eat is a task that can be performed by an LVN under the supervision of an RN. While it requires skill, it does not necessarily require the advanced clinical judgment of an RN.
Choice C rationale
Reinforcing teaching with a patient who is learning to walk with a quad cane can be done by an LVN or UAP. This task involves providing support and encouragement, but it does not require the advanced clinical judgment of an RN.
Choice D rationale
An unstable client complaining of feeling faint requires the advanced clinical judgment and skills of an RN. The RN is best equipped to assess the client’s condition, identify potential causes of instability, and implement appropriate interventions to stabilize the client.
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