A nurse is assisting with the admission of a client who has tuberculosis with a productive cough.
Which type of isolation precautions should the nurse initiate for the client?

Choice A rationale: Countertransference is not the appropriate concept in this scenario. Countertransference refers to the nurse's emotional response to the client, which may be based on the nurse's unresolved issues and can negatively affect the therapeutic relationship. In this case, the nurse's actions are not driven by unresolved issues but by a desire to meet the client's basic needs.

Choice B rationale: Promoting trust is the most suitable explanation for the nurse's actions. By interrupting the bath and providing a healthy meal to a newly admitted client who hasn't eaten all day, the nurse is demonstrating empathy, compassion, and a commitment to meeting the client's physiological needs. This action helps build trust between the nurse and the client, as the client can see that their well-being is a priority.

Choice C rationale: Boundary crossing refers to actions that may blur or violate professional boundaries between a nurse and a client. While the nurse is going beyond the routine bath to provide a meal, this action is justified by the client's immediate need and doesn't constitute an inappropriate boundary crossing. The nurse is still maintaining professionalism in caring for the client.

Choice D rationale: Veracity is the principle of truth-telling and honesty in healthcare. It doesn't directly apply to this situation since the nurse's actions are not about providing information or disclosing something to the client. Instead, the nurse's primary concern is the client's nutritional well-being.

Choice A rationale:

Injecting additional insulin before exercising is not a recommended practice for individuals with type 1 diabetes mellitus. It can lead to hypoglycemia (low blood sugar) during exercise. The goal is to ensure that blood glucose levels are within a safe range before starting physical activity.

Choice B rationale:

Eating a piece of fruit before exercising is a suitable recommendation for someone with type 1 diabetes mellitus. Consuming a source of carbohydrates, such as fruit, can help prevent hypoglycemia during exercise. Carbohydrates provide a steady source of glucose for energy.

Choice C rationale:

Exercising when insulin is at its peak action can be risky for individuals with type 1 diabetes. At this time, the risk of hypoglycemia is higher because insulin is actively lowering blood sugar levels. It is generally recommended to exercise when insulin is at a moderate or lower level of activity to reduce the risk of hypoglycemia.

Choice D rationale:

Avoiding protein before exercising is not a specific recommendation for individuals with type 1 diabetes mellitus. While protein does not directly impact blood glucose levels as carbohydrates do, it is an essential nutrient for overall health. A balanced meal or snack that includes carbohydrates and protein is typically a better choice before exercise.