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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Using a spacer allows time for the client to inhale the entire dispensed dose, ensuring that the medication is delivered effectively to the lungs.
Choice B reason: While a spacer may reduce the risk of oral thrush, it is not specifically intended to prevent mouth infections.
Choice C reason: A spacer does not slow the entry of medication into the lungs; it helps to deliver the medication more effectively.
Choice D reason: While using a spacer can increase the effectiveness of the medication, the primary reason is that it allows the client to inhale the entire dose properly.
Correct Answer is ["C","D","E"]
Explanation
Choice A reason: Standard precautions and wearing a mask are important but not sufficient alone for MRSA infection control.
Choice B reason: A low bacteria diet is not specifically indicated for osteomyelitis or MRSA infection.
Choice C reason: Contact precautions are essential to prevent the spread of MRSA.
Choice D reason: Sending wound drainage for culture and sensitivity helps identify the causative organism and guide antibiotic therapy.
Choice E reason: Monitoring the white blood cell count helps assess the client's response to infection and treatment.
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