A nurse is assisting with preparing a teaching plan for a client who has diabetes mellitus. Which of the following actions should the nurse plan to take first?

Ask the client to demonstrate checking their blood sugar.

Determine the client's readiness to learn.

Identify short-term goals for the client.

Provide written educational material for the client.

Answer and Explanation

The Correct Answer is B

A. Asking the client to demonstrate checking their blood sugar is an important step in diabetes education but should occur after assessing the client's readiness to learn.
B. Determining the client's readiness to learn is the first step in effective teaching to ensure that the client is receptive to receiving information and can actively engage in the learning process.
C. Identifying short-term goals for the client is important for planning education but should follow an assessment of readiness to learn.
D. Providing written educational material is beneficial but should be tailored to the client's readiness and understanding, which are determined first.

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Correct Answer is A

Explanation

A. Guaifenesin works as an expectorant by stimulating and thinning respiratory tract secretions, making it easier for the client to cough up and clear mucus from the airways.
B. Suppressing the urge to cough is the action of antitussive medications, not expectorants like guaifenesin.
C. Guaifenesin does not have significant anti-inflammatory properties; its primary action is on mucus clearance.
D. Drying mucous membranes is not the mechanism of action for guaifenesin; it focuses on facilitating mucus removal.

A. Expect stools to become black and tarry. B. Use a soft bristle toothbrush. C. Inject the medication deep into the thigh muscle. D. Easy bruising indicates the medication is effective.

Correct Answer is B

Explanation

A. Black, tarry stools are not an expected effect of subcutaneous heparin; this symptom should be reported to a healthcare provider.
B. Using a soft bristle toothbrush is recommended to minimize the risk of bleeding gums, which can occur due to heparin's anticoagulant effects.
C. Subcutaneous heparin should be injected into the fatty tissue of the abdomen or thigh, not deep into the muscle.
D. Easy bruising is a potential side effect of heparin but does not indicate effectiveness; it should be monitored and reported if excessive.

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A nurse is assisting with preparing a teaching plan for a client who has diabetes mellitus. Which of the following actions should the nurse plan to take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who is going to take guaifenesin, an expectorant, to help manage a cough. The nurse should explain that this type of medication treats coughs by which of the following mechanisms?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a client who is to start subcutaneous heparin. Which of the following information should the nurse include in the teaching?

Correct Answer is B

Explanation

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