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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Ignoring the error, even if it does not affect patient care, is incorrect. Ignoring errors can lead to a culture of complacency and potentially more significant errors in the future. It is essential to address all errors to maintain accurate records and ensure patient safety.
Choice B rationale
Drawing a single line through the error, initialing, and dating it is the correct action. This method maintains the integrity of the medical record while clearly indicating that an error was made and corrected. It ensures transparency and accountability in documentation.
Choice C rationale
Leaving the error as is and informing the nurse manager is not the best practice. While informing the nurse manager is important, the error should be corrected in the medical record to prevent any potential confusion or miscommunication.
Choice D rationale
Erasing the incorrect entry and writing the correct one is incorrect. Erasing or obliterating entries in a medical record is not allowed as it can be seen as tampering with the record. It is crucial to maintain the original entry and make corrections transparently.
Correct Answer is D
Explanation
Choice A rationale
Ignoring the comment and documenting “No Known Allergies” (NKA) is incorrect because it disregards the client’s report of an allergy. This action could lead to potential harm if the client is indeed allergic to codeine.
Choice B rationale
Asking the client why they think it is an allergy is not the best response. It may come across as dismissive and does not provide the nurse with specific information about the client’s allergic reaction.
Choice C rationale
Telling the client not to worry and that they will be okay if they take codeine with food is incorrect. This response is dismissive of the client’s concern and does not address the potential for an allergic reaction.
Choice D rationale
Asking the client what symptoms they experience with codeine is the best response. It allows the nurse to gather specific information about the client’s allergic reaction, which is crucial for safe medication administration.
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