A home health nurse is visiting a client who has a new diagnosis of diabetes mellitus. Which of the following actions should the nurse take first?
Teach the client about appropriate food choices.
Refer the client to a diabetes mellitus support group.
Identify the client's dietary preferences.
Develop a nutritional program.
The Correct Answer is C
Choice A reason: Teaching the client about appropriate food choices is an important intervention for diabetes mellitus, but it is not the first action the nurse should take. The nurse needs to assess the client's current dietary habits and preferences before providing education.
Choice B reason: Referring the client to a diabetes mellitus support group is a helpful strategy to promote coping and self-management, but it is not the first action the nurse should take. The nurse needs to address the client's immediate needs and priorities before making referrals.
Choice C reason: Identifying the client's dietary preferences is the first action the nurse should take. This is an assessment step that will help the nurse tailor the nutritional program to the client's individual needs and preferences. It will also help the nurse establish rapport and trust with the client.
Choice D reason: Developing a nutritional program is a planning step that requires assessment data. The nurse should not develop a nutritional program without first identifying the client's dietary preferences and needs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Elevating the head of the bed can help ease breathing and promote comfort for a client who is near death. This position can reduce the work of breathing and help prevent aspiration, which is crucial for clients with diminished consciousness or swallowing reflexes.
Choice B reason: Offering ice chips may provide some moisture and comfort to the client, but it is not the primary action to promote comfort for a client who is near death. Ice chips should be used cautiously, especially if the client has difficulty swallowing or is unconscious.
Choice C reason: Turning the client every 4 hours is important to prevent pressure ulcers and promote circulation. However, for a client who is near death, repositioning should be done with consideration for the client's comfort and any pain they may be experiencing.
Choice D reason: Providing oral care every 6 hours can help maintain oral hygiene and comfort, especially if the client is unable to perform this task themselves. It can also help prevent infections and manage any discomfort from dryness or buildup in the mouth.
Correct Answer is B
Explanation
Choice A reason: This statement is not the best answer, as the National Institutes of Health (NIH) is not the primary agency responsible for regulating or enforcing environmental standards. The NIH is a research agency that supports biomedical and public health research.
Choice B reason: This statement is the best answer, as the Environmental Protection Agency (EPA) is the federal agency that protects human health and the environment by setting and enforcing standards for air, water, and land quality. The EPA regulates the use, disposal, and cleanup of asbestos, a known carcinogen and health hazard.
Choice C reason: This statement is not the best answer, as the Centers for Disease Control and Prevention (CDC) is not the primary agency responsible for regulating or enforcing environmental standards. The CDC is a public health agency that monitors and responds to disease outbreaks, conducts research, and provides health information.
Choice D reason: This statement is not the best answer, as the Department of Health and Human Services (HHS) is not the primary agency responsible for regulating or enforcing environmental standards. The HHS is a cabinet-level department that oversees various health and human services programs and agencies, such as the NIH, the CDC, and the Food and Drug Administration.
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