A nurse is developing a teaching plan for a client who has a new diagnosis of type 2 diabetes mellitus.

Which of the following actions should the nurse plan to take first?

Give the client access to a video about diabetes.

Determine what the client knows about managing diabetes.

Establish short-term, realistic goals for the client.

Evaluate the effectiveness of the client's admission teaching plan.

Answer and Explanation

The Correct Answer is B

Choice A rationale:
Giving the client access to a video about diabetes is a good teaching tool, but it should come after assessing the client’s knowledge.
Choice B rationale:
The first step in patient education is to assess the client’s learning needs. This includes determining what the client already knows about managing diabetes.
Choice C rationale:
Establishing short-term, realistic goals for the client is important, but it should be done after assessing the client’s knowledge.
Choice D rationale:
Evaluating the effectiveness of the client’s admission teaching plan is a later step, after assessing the client’s knowledge and teaching them about their condition.

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Correct Answer is C

Explanation

Choice A rationale:
Determining if the client needs to continue IV therapy is important, but it is not the first action the nurse should take. The nurse should first address the immediate problem, which is the irritated IV site.
Choice B rationale:
Initiating a new IV line in the other extremity is necessary, but not the first action. The nurse should first discontinue the existing IV line to prevent further irritation or infection.
Choice C rationale:
The nurse should first discontinue the existing IV line. This is because the symptoms indicate that the client might have developed phlebitis, an inflammation of the vein, which requires immediate discontinuation of the IV line.
Choice D rationale:
Applying a hot pack to the irritated site can help reduce inflammation and discomfort, but it is not the first action. The nurse should first discontinue the IV line to prevent further complications.

A. Clean the perineal area with an antiseptic solution daily. B. Irrigate the catheter once each shift. C. Check the catheter tubing for kinks or twisting. D. Replace the catheter every 3 days.

Correct Answer is C

Explanation

Choice A rationale:
Cleaning the perineal area with antiseptic solution daily is not necessary and can disrupt normal flora.
Choice B rationale:
Routine irrigation of the catheter is not recommended as it can introduce bacteria.
Choice C rationale:
Checking the catheter tubing for kinks or twisting ensures urine flow and prevents infection.
Choice D rationale:
Replacing the catheter every 3 days is not necessary and can increase infection risk.

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A nurse is developing a teaching plan for a client who has a new diagnosis of type 2 diabetes mellitus. Which of the following actions should the nurse plan to take first?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is C

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A nurse is developing a teaching plan for a client who has a new diagnosis of type 2 diabetes mellitus.

Which of the following actions should the nurse plan to take first?