A nurse is assisting with developing a discharge plan for a client who has a new diagnosis of diabetes mellitus. The client is independent and lives alone. Which of the following interventions should the nurse plan to include?
Provide the client with 1 week's supply of insulin syringes.
Arrange for a home health nurse to visit the client daily.
Notify the family of the client's health status.
Refer the client to a diabetic support group.
The Correct Answer is D
A. Provide the client with 1 week's supply of insulin syringes: While supplying necessary equipment is part of discharge planning, providing only a one-week supply may not be sufficient for ongoing self-management. Clients should receive instruction on obtaining refills and maintaining adequate supplies, rather than limiting to a short-term provision.
B. Arrange for a home health nurse to visit the client daily: Daily home health visits are generally reserved for clients who are dependent or unable to safely manage insulin administration or blood glucose monitoring. Since this client is independent and capable of self-care, daily visits are not necessary.
C. Notify the family of the client's health status: For an independent adult, sharing medical information with family requires client consent. Unless the client requests it, notifying family is not an appropriate routine intervention and may violate privacy regulations.
D. Refer the client to a diabetic support group: Referral to a support group provides education, emotional support, and strategies for managing diabetes independently. Participation helps the client build self-efficacy, learn practical skills, and connect with others managing the condition, making it a valuable intervention for discharge planning.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Assist the client to cough and deep breathe: Encouraging coughing and deep breathing helps mobilize secretions and improve alveolar ventilation. While this is an important intervention for pneumonia, it does not immediately address the client’s current hypoxemia, which requires rapid intervention to improve oxygenation.
B. Administer scheduled antibiotic medication: Antibiotics are essential to treat the underlying infection, but their effect is not immediate. They do not correct acute hypoxemia or respiratory distress, so administering the antibiotic is not the first priority in this situation.
C. Discuss the pneumococcal vaccine with the provider: Vaccination is a preventive measure to reduce the risk of future infections. It does not address the acute hypoxemia or impaired gas exchange the client is experiencing during the current episode of pneumonia.
D. Position the client in high-Fowler's position: Elevating the client to a high-Fowler’s position promotes maximal lung expansion and improves ventilation-perfusion matching. This immediate intervention helps increase oxygen saturation and ease shortness of breath, making it the priority action in a client with SaO2 of 88% on room air.
Correct Answer is C
Explanation
A. Tell the family to adhere to the facility menu when choosing food for the child: Forcing adherence to the facility menu may conflict with the child’s cultural preferences and could lead to poor intake or refusal to eat. Respecting cultural practices promotes adequate nutrition and comfort.
B. Advise the family to offer a 14 serving size of solid foods at mealtime: A 14-serving portion is excessive for a 2-year-old and could lead to overeating, digestive discomfort, or obesity. Appropriate serving sizes for toddlers should be small, age-appropriate portions that meet nutritional needs.
C. Instruct the family to bring familiar food from home for the child: Allowing culturally familiar foods supports adequate nutrition, encourages eating, and respects the family’s cultural preferences. Familiar foods can also reduce anxiety and improve acceptance of hospital or care environment meals.
D. Inform the family to offer a cup of juice with each meal: Excessive juice can contribute to diarrhea, dental caries, or nutritional imbalance. Guidelines recommend limiting juice for toddlers to no more than 4–6 ounces per day, not with every meal.
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