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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. It reduces the client's anxiety during the assessment: While gentle touch may help the client feel more comfortable, the primary purpose of light palpation is not to reduce anxiety but to gather assessment data. Anxiety reduction is a secondary benefit rather than the main objective.
B. It helps identify areas of tenderness and abnormalities: Light palpation allows the nurse to feel surface characteristics, detect tenderness, and identify abnormalities such as masses or swelling. It is the initial step in palpation before progressing to deeper techniques, providing important information about the abdominal area.
C. It is the only technique used for abdominal assessment: Light palpation is just one technique. Deep palpation and other assessment methods like inspection, percussion, and auscultation are also necessary for a complete abdominal assessment.
D. It allows for the assessment of the abdominal organs: Assessment of deeper abdominal organs requires deep palpation, not light palpation. Light palpation primarily evaluates superficial structures and detects areas that may need further examination.
Correct Answer is D
Explanation
A. Beneficence: Beneficence involves acting in the client’s best interest to promote well-being and prevent harm. While the provider may have attempted to ensure the client’s safety, allowing the client to leave does not exemplify beneficence because the focus was on respecting the client’s choice rather than prioritizing their safety.
B. Fidelity: Fidelity refers to maintaining loyalty, keeping promises, and being faithful to commitments made to the client. Although the provider provided information and guidance, the scenario emphasizes respect for decision-making rather than maintaining a specific promise or commitment.
C. Veracity: Veracity involves truth-telling and providing accurate, honest information. The healthcare provider did explain the risks associated with leaving, which demonstrates veracity, but the ethical principle highlighted in this situation is about the client’s right to make their own decisions.
D. Autonomy: Autonomy is the ethical principle that supports an individual’s right to make informed decisions about their own care. By respecting the client’s choice to leave despite the risks, the healthcare provider upheld the client’s autonomy.
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