A home health nurse is making an initial assessment visit to an adult client who has type 1 diabetes mellitus. Which of the following statements should the nurse make to evaluate the client's ability to measure blood glucose accurately?
"Please use your glucometer and show me the results."
"Please tell me how long you have been using this glucometer."
"These blood glucose results you've written down do not seem correct."
"Let me show you how to use this glucometer, so you can see if this is how you've been using it."
The Correct Answer is A
A. "Please use your glucometer and show me the results.": Asking the client to demonstrate their technique provides the nurse with direct observation of how the client performs the skill. This allows the nurse to assess for errors in preparation, technique, or interpretation and ensures the client can perform self-monitoring correctly in their own home environment.
B. "Please tell me how long you have been using this glucometer.": Knowing the duration of glucometer use may provide some background information, but it does not show whether the client has the correct technique.
C. "These blood glucose results you've written down do not seem correct.": Telling the client their documented results seem wrong may come across as judgmental and could discourage openness. It also does not provide a clear assessment of the client’s ability to use the glucometer properly.
D. "Let me show you how to use this glucometer, so you can see if this is how you've been using it.": Demonstrating the procedure yourself first may help teach, but it does not initially allow the nurse to evaluate how the client is actually performing the task.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Client's present condition: The present condition is part of the “situation” portion of SBAR, describing why the nurse is contacting the provider. It is not included in the background section.
B. Questions for the provider regarding client care: Questions or recommendations are included in the “recommendation” portion of SBAR, not the background. They indicate what the nurse is requesting or suggesting for the client’s care.
C. Physical findings: Physical assessment data are reported in the “assessment” section of SBAR, providing objective information about the client’s current status rather than historical context.
D. Previous treatments: Previous treatments, medical history, and relevant background information are included in the “background” section. This information gives the provider context about the client’s condition and prior interventions.
Correct Answer is D
Explanation
A. "I will limit the length of my bath to 30 minutes.": While shorter baths can prevent skin dryness, this does not directly relate to safety. The teaching focuses on reducing fall risks, so bath duration is less relevant to preventing injury.
B. "I will apply bath oil to the water to moisturize my skin.": Adding bath oil increases the slipperiness of the tub, significantly raising the risk of falls. This poses a safety hazard rather than promoting safe bathing.
C. "I will drain the tub after I get out.": Draining the tub after exiting is common practice but does not reduce fall risk during entry or exit. Safety measures should focus on preventing slips before and while leaving the tub.
D. "I will place a bathmat in front of the tub.": Using a bathmat provides traction on wet bathroom floors and reduces the likelihood of slipping when getting in or out of the tub. This demonstrates understanding of effective bathtub safety teaching.
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