When providing education for a client newly diagnosed with type 1diabetes, which information is most important for the nurse to provide the client?

Encourage wearing a medical alert identification bracelet.

Explain the importance of counting carbohydrate intake.

Provide printed materials about the treatment of diabetes.

Teach how to recognize and treat hypoglycemia.

Answer and Explanation

The Correct Answer is D

Rationale:
A. Encourage wearing a medical alert identification bracelet: While important for safety, especially in emergencies, it does not directly affect daily self-management or immediate health risks like hypoglycemia.

B. Explain the importance of counting carbohydrate intake: Carbohydrate counting is vital for glucose management but becomes more effective once the client understands how to handle acute complications like hypoglycemia.

C. Provide printed materials about the treatment of diabetes: Educational materials support learning, but the nurse must prioritize hands-on, actionable education—especially about emergencies like hypoglycemia.

D. Teach how to recognize and treat hypoglycemia: Hypoglycemia can occur quickly and lead to seizures, unconsciousness, or death if untreated. Teaching recognition and response is the most urgent priority for client safety.

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Correct Answer is C

Explanation

Rationale:

A. Assess for fatty yellow streaks in the client's stool: This suggests steatorrhea, commonly linked to malabsorption syndromes—not relevant to recent thrombolytic use or bleeding risk.

B. Obtain a specimen for culture and sensitivity analysis: This is used to identify infectious organisms in cases of suspected gastrointestinal infection, not bleeding, which is the primary concern post-thrombolytic therapy.

C. Send a stool sample to the lab for a guaiac test: A guaiac test detects occult (hidden) blood in stool, which is essential for identifying gastrointestinal bleeding—a major complication of thrombolytic therapy.

D. Observe the stool for a clay-colored appearance: Clay-colored stool may indicate biliary obstruction or liver dysfunction, not a bleeding issue, which is the critical concern after thrombolytic administration.

A. Instruct the client to shower and wash her hair thoroughly. B. Clean all surfaces touched by the client with vinegar and water. C. Place the client in a room with lead doors to contain airborne anthrax. D. Bag the clothes the client is wearing in plastic bags. E. Place the client on airborne precautions.

Correct Answer is ["A","D","E"]

Explanation

Rationale:

A. Instruct the client to shower and wash her hair thoroughly: Decontamination by showering is essential to remove any anthrax spores from the skin and hair. Thorough washing reduces the risk of further spread and protects healthcare personnel and other patients.

B. Clean all surfaces touched by the client with vinegar and water: Vinegar and water are not effective against anthrax spores. Proper decontamination requires specific agents, such as a 0.5% hypochlorite (bleach) solution, under the guidance of hazardous materials protocols.

C. Place the client in a room with lead doors to contain airborne anthrax: Lead doors are used for radiation containment, not for biological threats like anthrax. Anthrax is not typically airborne unless aerosolized, so this intervention is unnecessary and ineffective.

D. Bag the clothes the client is wearing in plastic bags: Contaminated clothing can carry anthrax spores. Placing clothes in sealed plastic bags is a critical step in preventing environmental contamination and ensuring safe disposal.

E. Place the client on airborne precautions: While anthrax is not usually spread from person to person, airborne precautions are used if aerosol exposure is suspected, as in bioterrorism events. This helps contain spores until full decontamination is completed.

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When providing education for a client newly diagnosed with type 1diabetes, which information is most important for the nurse to provide the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client received a thrombolytic medication following a myocardial infarction. When the client has a bowel movement, which action should the nurse implement?

Correct Answer is C

Explanation

Correct Answer is ["A","D","E"]

Explanation

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