The nurse teaches a patient to self-administer his insulin. How can the nurse best evaluate whether the patient understands the instruction?

Ask the patient an open-ended question about feelings related to the procedure

Ask the patient to repeat the information in the insulin pamphlet that was provided

Have the patient list the steps of the procedure for insulin administration

Observe as the patient prepares and injects a dose of insulin

Answer and Explanation

The Correct Answer is D

A. Ask the patient an open-ended question about feelings: This might reveal anxieties but not necessarily confirm understanding of the steps.
B. Ask the patient to repeat the information in the pamphlet: Repeating information doesn't guarantee comprehension of how to perform the task.
C. Have the patient list the steps: This can be helpful, but observing actual performance allows for correcting any errors in technique.
D. Observe as the patient prepares and injects a dose of insulin: Direct observation is the most reliable way to assess if the patient can safely and accurately self-administer insulin.

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Correct Answer is C

Explanation

A. Treat the urinary tract infection with another drug: This might be necessary if ciprofloxacin interacts significantly with birth control pills, but it's not the first line of action.

B. Continue with both therapies simultaneously: Some antibiotics can decrease the effectiveness of birth control pills. It's important to advise using a backup method during and for a short time after ciprofloxacin therapy.

C. Complete the ciprofloxacin therapy and use a backup method of contraception: This is the most appropriate advice. Jennifer should finish the antibiotic to treat the infection, but a backup method (like condoms) is needed to prevent pregnancy because ciprofloxacin might decrease the effectiveness of birth control pills.

D. Abstain from sexual activity until the end of ciprofloxacin therapy: While this would be completely effective, it might not be realistic for everyone. Using a backup method offers protection while still allowing sexual activity.

A. Obtain a platelet count B. Obtain a blood pressure C. Obtain a urine specimen for culture and sensitivity D. Obtain a PTT

Correct Answer is C

Explanation

A. Obtain a platelet count: Platelet count is not routinely required before antibiotics for a UTI.
B. Obtain a blood pressure: Blood pressure is not a priority for a UTI but might be checked for other reasons.
C. Obtain a urine specimen for culture and sensitivity: This is the most important step. Culturing the urine helps identify the specific bacteria causing the infection and determine the most effective antibiotic. Knowing the sensitivity profile helps select the antibiotic most likely to work against that particular bacteria.
D. Obtain a PTT: PTT (partial thromboplastin time) is not routinely required before antibiotics for a UTI.

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The nurse teaches a patient to self-administer his insulin. How can the nurse best evaluate whether the patient understands the instruction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Jennifer takes birth control pills. Recently she was diagnosed with a urinary tract infection and is taking ciprofloxacin (Cipro). To maximize the therapeutic effects of both types of drugs, what should the nurse tell Jennifer?

Correct Answer is C

Explanation

The nurse is caring for a client with a diagnosis of urinary tract infection. The physician has ordered an antibiotic. What is the priority prior to administering this medication?

Correct Answer is C

Explanation

Which of the following is important for the nurse to assess and monitor in a patient prescribed metformin (Glucophage)? (Select All that Apply.)

The nurse teaches a patient to self-administer his insulin. How can the nurse best evaluate whether the patient understands the instruction?

The nurse is admitting a patient to the acute care floor. While obtaining the history, the client tells the nurse she is allergic to penicillin. Which of the following medications, if ordered by the physician, would be safe for this client?

Which term is used to describe the stain of bacteria?

Which of the following stimulates the pancreas to secrete insulin?

Untreated or improperly treated diabetes is the primary cause of the following: (Select All that Apply.)

Before starting antimicrobial therapy, the nurse assesses a patient for possible drug allergy. Which of the following complaints should alert the nurse to a drug allergy?

Before administering cefazolin (Ancef), the nurse checks for a previous allergic reaction to: