The nurse is teaching a male adolescent recently diagnosed with type 1 diabetes mellitus (DM) about self-injecting insulin. Which approach is best for the nurse to use to evaluate the effectiveness of the teaching?

Have the adolescent list the procedural steps for safe insulin administration.

Review his glycosylated hemoglobin level 3 months after the teaching session.

Observe him as he demonstrates the self-injection technique to another diabetic adolescent.

Ask the adolescent to describe his level of comfort with injecting himself with insulin.

Answer and Explanation

The Correct Answer is C

Choice A reason: Listing the procedural steps is helpful but does not demonstrate practical competence.

Choice B reason: Reviewing glycosylated hemoglobin levels provides information about long-term glucose control but does not directly assess the technique.

Choice C reason: Observing the adolescent as he demonstrates the self-injection technique ensures that he has understood and can correctly perform the procedure, providing the best evaluation of teaching effectiveness.

Choice D reason: Describing the level of comfort provides insight into his confidence but not necessarily his technical competence.

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Correct Answer is D

Explanation

Choice A reason: Obtaining a 12-lead electrocardiogram is important but not as frequent as monitoring potassium levels in this situation.

Choice B reason: Evaluating glucose levels is important but secondary to monitoring potassium levels.

Choice C reason: Monitoring and documenting intake and output are important but not as critical as frequent potassium level assessment.

Choice D reason: Frequent assessment of serum potassium levels is crucial due to the high initial potassium level and the use of insulin, which affects potassium levels.

A. Leg numbness. B. Cold sensitivity. C. Slow weight loss. D. Muscle weakness.

Correct Answer is B

Explanation

Choice A reason: Leg numbness is not a typical symptom of thyroid dysfunction and may be related to other conditions such as peripheral neuropathy.

Choice B reason: Cold sensitivity is a common symptom of hypothyroidism and warrants evaluation of thyroid function.

Choice C reason: Slow weight loss is not a typical symptom of thyroid dysfunction; unexplained weight gain is more indicative of hypothyroidism.

Choice D reason: Muscle weakness can be associated with various conditions, but cold sensitivity is more specific to thyroid issues.

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The nurse is teaching a male adolescent recently diagnosed with type 1 diabetes mellitus (DM) about self-injecting insulin. Which approach is best for the nurse to use to evaluate the effectiveness of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The healthcare provider prescribes a 5% dextrose injection with 20 units of regular insulin for a client with a serum potassium level of 6.0 mEq/L (6.0 mmol/L) and glucose level of 180 mg/dL (10.0 mmol/L). Which evaluation is most important for the nurse to include in this client's plan of care?

Correct Answer is D

Explanation

Which assessment finding of a postmenopausal woman necessitates a referral by the nurse to a healthcare provider for evaluation of thyroid functioning?

Correct Answer is B

Explanation

The nurse is providing education to a client who receives a prescription for zolpidem. Which information about the medication should the nurse include?

The nurse is completing the admission assessment of a client with multiple sclerosis (MS). Which finding(s) should be reported to the healthcare provider immediately? Select all that apply.

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The nurse is admitting a client from the postanesthesia care unit (PACU) to the postoperative surgical care unit. Which prescription should the nurse implement first?

A mother calls the nurse to report that at 0900 she administered an oral dose of digoxin to her 4-month-old infant, but at 0920 the baby vomited the medicine. Which instruction should the nurse provide to this mother?