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.

Answer and Explanation

The Correct Answer is A

A.   Correct. Providing the client with a one-week supply of insulin syringes ensures they have the necessary equipment to administer insulin independently at home. This supports the client's independence while managing their diabetes.
B.   Incorrect. While home health visits may be appropriate for some clients with diabetes, arranging daily visits may not be necessary for an independent client who is capable of managing their condition on their own.
C.   Incorrect. Notifying the family of the client's health status may be appropriate in certain situations, but it is not essential for an independent client who is capable of managing their diabetes independently.
D.   Incorrect. While joining a diabetic support group can be beneficial for many individuals with diabetes, it may not be necessary for all clients, especially those who are independent and prefer to manage their condition on their own.

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Correct Answer is B

Explanation

A. Disposing of used syringes in the household trash poses a risk of accidental needle sticks to others. The correct method of disposal is using a puncture-resistant container.
B. Storing the current bottle of insulin in the refrigerator is the correct practice to maintain the stability and effectiveness of the insulin. Insulin should be kept refrigerated until opened and
then can be kept at room temperature for up to 28 days.

C. Holding the needle at a 15° angle to the skin is not the recommended technique for insulin injection. The correct angle for subcutaneous insulin injection is usually 45 or 90 degrees, depending on the client's body habitus and the length of the needle.
D. Using an injection site that is 1 inch from the previous site may lead to lipohypertrophy, a condition characterized by fatty tissue buildup under the skin, which can affect insulin absorption. It is recommended to rotate injection sites to avoid this complication.

A. The client's most recent blood pressure reading was 110/60 mm Hg. B. The client's morning laboratory results included a potassium level of 4.9 mg/dL. C. The client has 2 pitting edema in the lower extremities. D. The client's partner assisted them with their meal tray.

Correct Answer is C

Explanation

A. While the blood pressure reading provides information about the client's cardiovascular status, it does not specifically indicate the severity of heart failure. Therefore, it is not the most pertinent information to include in the report.
B. The potassium level is important to monitor in clients with heart failure due to the potential for electrolyte imbalances, but a specific potassium level of 4.9 mg/dL may not be immediately relevant to the client's current status. Therefore, it is not the most critical information to include in the report.

C. Pitting edema in the lower extremities is a common finding in clients with heart failure and can indicate fluid overload, a hallmark characteristic of heart failure. Including this information in the report is essential for providing an accurate picture of the client's condition and current status.
D. While assistance with meals may provide insight into the client's functional status and support system, it is not as directly related to the client's heart failure as the presence of pitting edema.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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