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 B

Explanation

Choice A rationale:
A pink color with blisters present is indicative of a superficial partial-thickness burn, not a deep partial-thickness burn.
Choice B rationale:
A yellow color with severe edema is indicative of a deep partial-thickness burn. This type of burn involves the entire dermis and damage to nerve endings, blood vessels, and sweat glands.
Choice C rationale:
A black color and absence of pain is indicative of a full-thickness burn, not a deep partial-thickness burn.
Choice D rationale:
A red color with eschar present is indicative of a full-thickness burn, not a deep partial-thickness burn.

A. Encourage brief exercise before meals to promote appetite. B. Place the client with the head reclined back to facilitate swallowing. C. Encourage the client to take small bites. D. Place food in the affected side of the mouth.

Correct Answer is C

Explanation

Choice A rationale:
Encouraging brief exercise before meals to promote appetite is not directly related to feeding safety for a client who has dysphagia following a stroke.
Choice B rationale:
Placing the client with the head reclined back to facilitate swallowing is incorrect. It’s safer for the client to sit upright during feeding to prevent aspiration.
Choice C rationale:
Encouraging the client to take small bites can help prevent choking and aspiration, making it a safe feeding practice for clients with dysphagia.
Choice D rationale:
Placing food in the affected side of the mouth is not a safe practice. It’s recommended to place food on the unaffected side of the mouth.

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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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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?