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. Morphine 2 mg IV bolus every 4 hr PRN pain: The prescription clearly indicates the dose, route, frequency, and PRN instructions, making it complete and appropriate for administration.
B. Acetaminophen 1,000 PO three times daily: The prescription is missing the unit of measure (mg, g, etc.), which is essential to ensure safe dosing. Without the unit, there is a risk of overdose or underdose, so the nurse must verify this prescription with the provider before administration.
C. Ibuprofen 800 mg PO every 8 hr: This prescription includes the dose, route, and frequency, making it complete. While monitoring for side effects is important, there is no issue requiring verification.
D. Ceftriaxone 250 mg IM x1 dose now: The prescription specifies the dose, route, and single administration, making it clear and safe to administer without additional verification.
Correct Answer is D
Explanation
A. Outer posterior aspect of upper arm: This site, the deltoid muscle, is appropriate for small-volume IM injections (up to 1 mL). However, it is limited by muscle size and is not preferred for larger volume or more irritating medications.
B. Upper thigh: The vastus lateralis muscle of the anterior thigh is a common IM site, particularly in infants and young children. While suitable, it may be less preferred in adults unless other sites are contraindicated.
C. Abdomen: The abdomen is not used for intramuscular injections; it is a common site for subcutaneous injections, such as insulin or heparin. Administering an IM injection in the abdomen would risk improper absorption and injury.
D. Ventrogluteal: The ventrogluteal site is preferred for intramuscular injections in adults because it is away from major nerves and blood vessels, allows for larger volumes of medication, and has a consistent muscle mass. It minimizes the risk of complications and is considered the safest IM injection site.
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