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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Log off the computer to attend the client's needs:

Logging off ensures that the client’s health information is protected, maintaining confidentiality and compliance with HIPAA regulations. This prevents unauthorized access to sensitive information when the nurse is away from the computer.

B. Complete the documentation before going to the client's room:

While completing documentation is important, the nurse should prioritize responding to the immediate needs of the client. The nurse can return to complete the documentation afterward.

C. Leave the computer in the hallway:

Leaving the computer unattended in the hallway poses a security risk and compromises the confidentiality of the client's information.

D. Minimize the screen while addressing the client's needs:

Minimizing the screen does not secure the information on the computer. It can still be accessed by others, potentially leading to breaches of client confidentiality.

A. Complete medication reconciliation when a client moves to a new room on the same unit. B. Medication reconciliation should be completed whenever the nurse administers a medication. C. Medication reconciliation can be delegated to an assistive personnel. D. Include herbal supplements in the medication reconciliation.

Correct Answer is D

Explanation

A. Complete medication reconciliation when a client moves to a new room on the same unit:

While it's important to update the client's information when they change rooms, this may not necessitate a full medication reconciliation. Medication reconciliation is typically more comprehensive and involves a thorough review of the client's entire medication regimen.

B. Medication reconciliation should be completed whenever the nurse administers a medication:

While it's important to verify medications before administration, a full medication reconciliation involves a broader review of the client's entire medication history and should not necessarily be done each time a single medication is administered.

C. Medication reconciliation can be delegated to an assistive personnel:

Medication reconciliation is a complex process that involves a thorough review of the client's medication history, and it is generally considered a nursing responsibility. Delegating this task to assistive personnel may compromise accuracy and completeness.

D. Include herbal supplements in the medication reconciliation:

This is the correct answer. Herbal supplements can interact with prescribed medications and may impact the client's overall health. Including them in the medication reconciliation process ensures a comprehensive assessment of the client's medication regimen.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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