A nurse is reinforcing discharge teaching with a client who has type 1 diabetes mellitus.
Which of the following client statements indicates an understanding of the teaching?

"I will dispose of insulin needles in a puncture-proof container."

"I will store opened insulin vials in my refrigerator."

"I will shake the insulin vial before drawing it into the syringe."

“I will expect my regular insulin to appear cloudy."

Answer and Explanation

The Correct Answer is A

A.   Disposing of insulin needles in a puncture-proof container is a safe practice to prevent accidental needle sticks and transmission of infections.
B.   Opened insulin vials should be stored at room temperature, not in the refrigerator, to prevent insulin from crystallizing or becoming too cold for injection.

C.   Shaking the insulin vial before drawing it into the syringe can cause air bubbles to form, leading to inaccurate dosing.
D.   Regular insulin should appear clear, not cloudy. Cloudiness may indicate contamination or degradation of the insulin, and the client should not use it.

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Correct Answer is D

Explanation

A. Amniotic fluid color: While the color of amniotic fluid can provide important information about fetal well-being and possible complications, the priority immediately following an amniotomy is to assess the fetal heart rate to ensure fetal well-being and monitor for any signs of fetal distress.
B. The client's temperature: While maternal temperature should be monitored regularly during labor to detect signs of infection, it is not the priority immediately following an amniotomy. Fetal well-being takes precedence.
C. Frequency of contractions: Monitoring the frequency of contractions is important for assessing progress in labor and identifying any abnormalities, but it is not the priority immediately following an amniotomy. Fetal well-being should be assessed first.
D. Fetal heart rate: Following an amniotomy, the priority is to assess the fetal heart rate to ensure that the umbilical cord has not prolapsed and that the fetus is not experiencing distress due to changes in amniotic fluid volume or other factors related to the amniotomy. Monitoring fetal heart rate allows for early detection of any signs of fetal distress and prompt intervention if needed.

A. Elevates the client's legs before applying the stockings B. Instructs the client to dorsiflex their feet while applying the stockings C. Massages the client's legs before applying the stockings D. Folds the top of the stockings over after applying them

Correct Answer is A

Explanation

A. Elevating the client's legs before applying the stockings helps reduce venous stasis by promoting venous return and decreasing edema, which is essential for the effectiveness of the stockings.

B. Dorsiflexion of the feet can also aid in the application but is not as critical as elevation.

C. Massaging the legsis contraindicated as it may dislodge clots if present.

D.Folding the top of the stockings over can create a tourniquet effect and impede blood flow, which is harmful to the client.

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A nurse is reinforcing discharge teaching with a client who has type 1 diabetes mellitus. Which of the following client statements indicates an understanding of the teaching?

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A nurse is reinforcing discharge teaching with a client who has type 1 diabetes mellitus.
Which of the following client statements indicates an understanding of the teaching?