A home health nurse is planning an initial home visit for a client who has a new diagnosis of diabetes mellitus. Which of the following interventions should the nurse plan to perform first?
Encourage the client to participate in a diabetes mellitus support group.
Determine the client's level of health literacy.
Verify the client's comfort level regarding how to use a glucometer.
Provide low-carbohydrate recipes for the client.
The Correct Answer is B
A. Encourage the client to participate in a diabetes mellitus support group: While support groups are beneficial for emotional support and ongoing education, this intervention is not the priority during the initial home visit. It is more appropriate once the client’s knowledge and self-care skills have been assessed.
B. Determine the client's level of health literacy: Assessing health literacy is the first priority because it guides the nurse in tailoring education and interventions. Understanding the client’s ability to comprehend and apply health information ensures that teaching about diabetes management, such as glucose monitoring and medication administration, is effective and safe.
C. Verify the client's comfort level regarding how to use a glucometer: Ensuring the client can correctly use a glucometer is important, but this step should follow the assessment of health literacy. Tailoring instruction to the client’s literacy level improves comprehension and accuracy in self-monitoring.
D. Provide low-carbohydrate recipes for the client: Providing dietary resources supports diabetes management but is secondary to assessing the client’s understanding and ability to implement self-care. Without first evaluating literacy and comprehension, these resources may not be effectively utilized.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Teach the client to use compression stockings: Compression stockings are primarily used to prevent venous thromboembolism and edema, not to relieve osteoarthritis pain. They do not address joint stiffness or muscle discomfort associated with osteoarthritis.
B. Place a moist heating pad over the affected area: Heat therapy helps relax muscles, increase blood flow, and reduce joint stiffness, providing effective non-pharmacological pain relief for osteoarthritis. Moist heat is often preferred because it penetrates deeper into the tissues compared to dry heat.
C. Avoid platelet-rich plasma therapy: Platelet-rich plasma therapy is an invasive treatment option and is not considered a routine non-pharmacological intervention for osteoarthritis pain. Avoidance of this therapy is not a direct pain-relief strategy.
D. Encourage the client to use crutches to ambulate: Crutches are generally not indicated for osteoarthritis pain unless severe weight-bearing restrictions are needed. They do not actively relieve joint pain and may increase fatigue or strain in other areas.
Correct Answer is A
Explanation
A. Assess for bladder distention: A full bladder can prevent the uterus from contracting effectively, leading to a boggy fundus and increased risk of postpartum hemorrhage. Assessing and addressing bladder distention is the priority because it directly impacts uterine tone and hemorrhage prevention.
B. Apply supplemental oxygen via nonrebreather mask: Oxygen may be necessary if the client shows signs of hypoxia or shock, but it does not address the primary cause of a boggy uterus. The priority is to correct the underlying issue affecting uterine contraction.
C. Administer intramuscular methylergonovine: Methylergonovine is used to promote uterine contraction, but pharmacologic intervention should follow initial assessment to identify reversible causes such as bladder distention. Administering medication without assessment could overlook a correctable mechanical issue.
D. Analyze coagulation studies: Coagulation studies are important if bleeding persists or coagulopathy is suspected, but they are not the immediate priority in a client with a boggy fundus shortly after birth. Immediate interventions to promote uterine contraction take precedence.
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