The nurse is caring for a client diagnosed with type 1 diabetes two months ago. The client reports being admitted to the hospital several times due to hypoglycemia. When educating the client about their disease process before discharge, which information should the nurse prioritize?
How to properly dispose of insulin needles.
The importance of maintaining a healthy weight.
How to monitor blood glucose levels at home.
How to properly administer insulin.
The Correct Answer is C
A. How to properly dispose of insulin needles: Safe disposal is important for preventing injury and infection, but it does not address the immediate risk of recurrent hypoglycemia, which is a priority for client safety.
B. The importance of maintaining a healthy weight: Weight management is beneficial for overall health and long-term diabetes control, but it does not directly prevent acute hypoglycemic episodes, which are the client’s immediate concern.
C. How to monitor blood glucose levels at home: Blood glucose monitoring is essential to detect and prevent hypoglycemia. Teaching the client how to accurately check glucose levels allows timely interventions, reduces the risk of complications, and is critical for safe self-management.
D. How to properly administer insulin: Proper insulin administration is important, but without first knowing blood glucose trends and levels, the client cannot safely adjust or time insulin doses. Monitoring provides the foundation for safe insulin use.
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Related Questions
Correct Answer is D
Explanation
A. "Timely and accurate documentation provides a comprehensive database of a client's health.": Accurate documentation creates a detailed record that supports clinical decision-making and continuity of care.
B. "Timely and accurate documentation establishes collaborative goals for care.": Proper documentation allows all members of the healthcare team to develop and coordinate client-centered care plans effectively.
C. "Timely and accurate documentation provides information to the healthcare team.": Documentation ensures that the healthcare team has access to current and relevant client information, supporting safe and effective care.
D. "Timely and accurate documentation prevents legal action from being taken.": While accurate documentation may help protect nurses, it does not prevent legal action. Legal issues can still arise even with correct records, so this statement reflects a misunderstanding of the purpose of documentation.
Correct Answer is B
Explanation
A. Measuring the client's vital signs: Vital signs are part of the physical assessment, not the general survey. They provide objective data but are collected separately from the initial observational overview.
B. Observing the client's body stature: The general survey involves an overall observation of the client’s physical appearance, including body stature, posture, gait, and apparent age. These observations help the nurse form a baseline impression of the client’s health.
C. Auscultating lung sounds: Auscultation is a specific component of the focused physical assessment, not part of the general survey. It requires using a stethoscope and detailed evaluation of specific body systems.
D. Prioritizing client's needs: Prioritization occurs after assessment and data collection. While essential for care planning, it is not a component of the general survey, which is primarily observational.
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