A nurse is performing discharge planning for a client who has diabetes mellitus. Which of the following actions should the nurse take as part of this process?
Review the client's medications and dosage instructions with them.
Evaluate the client's blood glucose levels and insulin administration technique.
Refer the client to a home health nurse or a diabetes educator as needed.
All of the above.
The Correct Answer is D
Choice A reason:
Review the client’s medications and dosage instructions with them. This step is crucial to prevent medication errors and ensure the client understands their regimen. It helps in maintaining proper glycemic control and avoiding complications.
Choice B reason:
Evaluate the client’s blood glucose levels and insulin administration technique. This ensures the client can manage their diabetes effectively at home. Proper technique and understanding of blood glucose monitoring are essential for maintaining target glucose levels.
Choice C reason:
Refer the client to a home health nurse or a diabetes educator as needed. Ongoing support and education from healthcare professionals are vital for managing diabetes. This referral provides the client with resources and guidance to manage their condition effectively.
Choice D reason:
All of the above. Combining all these actions ensures a holistic approach to discharge planning, addressing medication management, self-monitoring, and continuous support, which are all critical for effective diabetes management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
The client will have no signs of infection in the wound by day 7. This is an appropriate outcome because it indicates that the wound is healing properly and that the client is receiving adequate wound care and infection prevention measures. Infection can delay wound healing and increase the risk of complications.
Choice B reason:
The client will report pain level of 4/10 or less during dressing changes. This is not an appropriate outcome because it does not address the wound healing process or the prevention of further skin breakdown. Pain management is important for the client's comfort and quality of life, but it is not a specific goal for pressure ulcer care.
Choice C reason:
The client will consume at least 75% of meals and snacks daily. This is an appropriate outcome because it indicates that the client is receiving adequate nutrition to support wound healing. Nutrition plays a vital role in tissue integrity and repair, and the client should consume enough calories, protein, and micronutrients to meet their needs.
Choice D reason:
The client will reposition self in bed every 2 hours with assistance. This is not an appropriate outcome because it does not reflect the current evidence-based practice for pressure ulcer prevention and treatment. Repositioning should be done more frequently than every 2 hours, and the frequency should be individualized based on the client's risk factors, skin condition, comfort, and support surfaces.
Choice E reason:
The client will demonstrate proper wound care technique before discharge. This is an appropriate outcome because it indicates that the client has learned how to care for their wound at home and prevent further skin breakdown. Wound care education is essential for the client's self-management and adherence to the treatment plan.
Correct Answer is A
Explanation
Choice A reason:
Checking the pain level and location before and after giving the medication is an example of an independent intervention because it is within the nurse's scope of practice and does not require a provider's order. It is also part of the nursing process to assess the patient's pain and evaluate the effectiveness of the intervention.
Choice B reason:
Flushing the IV line with normal saline before and after giving the medication is not an independent intervention because it is a dependent intervention that requires a provider's order. It is also a standard procedure for administering IV medications to prevent occlusion and contamination of the IV line.
Choice C reason:
Monitoring the vital signs and level of consciousness every 15 minutes after giving the medication is not an independent intervention because it is a dependent intervention that requires a provider's order. It is also a safety measure to detect any adverse effects of the medication, such as respiratory depression, hypotension, or sedation.
Choice D reason:
Asking the physician to order naloxone in case of an adverse reaction to the medication is not an independent intervention because it is a collaborative intervention that involves consultation with another health care professional. It is also a precautionary measure to have an opioid antagonist available in case of overdose or severe respiratory depression.
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