A nurse is caring for a client who has type 1 diabetes mellitus. Which of following actions should the nurse take first when providing morning cara?
Provide the client's breakfast.
Obtain the client's capillary blood glucose level.
Check the calibration of the glucometer.
Administer prescribed insulin.
The Correct Answer is C
A. Providing the client's breakfast is an essential aspect of diabetes care, but obtaining information about the client's blood glucose level is a priority before administering insulin or making decisions about meal planning.
B. Obtaining the client's capillary blood glucose level is a critical first step. Knowing the current blood glucose level guides the nurse in determining the appropriate insulin dosage, assessing the need for any adjustments in the treatment plan, and planning the client's breakfast based on their current glucose level.
C. Checking the calibration of the glucometer is the first action to ensure the accuracy of the blood glucose measurement. Regular calibration checks help maintain the precision of the glucometer and ensure reliable results.
D. Administering prescribed insulin is an important step in managing type 1 diabetes, but the dosage should be determined based on the client's current blood glucose level. Administering insulin without knowing the current glucose level could lead to inappropriate dosage and potential complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Docusate sodium 200 mg PO at bedtime:
This prescription is clear. It specifies the medication (Docusate sodium), the dose (200 mg), and the time of administration (at bedtime).
Meloxicam 15 mg PO daily:
This prescription is clear. It specifies the medication (Meloxicam), the dose (15 mg), and the frequency (daily).
Regular insulin 8 units subcutaneous before meals:
Regular insulin 8 units subcutaneous before meals is a vague and potentially dangerous prescription. Regular insulin is a short-acting insulin that lowers blood glucose levels by facilitating the uptake of glucose into the cells. The dose of insulin should be individualized based on the client's blood glucose level, carbohydrate intake, and activity level. The nurse should contact the provider for clarification on how to adjust the dose according to the client's needs.
Fentanyl 25 mcg/hr transdermal patch:
Fentanyl patches are commonly used for chronic pain management. A dose of 25 mcg/hr is within the standard dosing range for patients who are opioid-tolerant. No clarification is typically needed for this prescription.
Correct Answer is C
Explanation
A. "A client can obtain a copy of their psychotherapy notes":
This statement is incorrect. Psychotherapy notes are generally not accessible to clients without specific authorization.
B. "I can remain logged-on to my computer if I step away for less than 5 minutes":
This statement is incorrect. It is essential to log off from the computer when stepping away to protect the confidentiality of client information.
C. "I will ensure that my screen isn't visible to others when I'm documenting":
This is the correct answer. Ensuring that the computer screen is not visible to others is an important practice to maintain confidentiality. It prevents unauthorized individuals from accessing sensitive client information.
D. "I will create a simple password that is easy to remember":
This statement is not recommended. Passwords should be strong and secure to protect against unauthorized access. Using a simple and easily guessable password compromises the confidentiality of electronic health records.
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