A nurse is reinforcing teaching with a client who was diagnosed with diabetes mellitus and requires insulin injections. Which of the following client statements indicates an understanding of the teaching?

"I should dispose of my used syringes in the household trash."

"I will store my current bottle of insulin in the refrigerator."

“I will hold the needle at a 15° angle to my skin."

“I should use an injection site that is 1 inch from the previous site.“

Answer and Explanation

The Correct Answer is B

A. Disposing of used syringes in the household trash poses a risk of accidental needle sticks to others. The correct method of disposal is using a puncture-resistant container.
B. Storing the current bottle of insulin in the refrigerator is the correct practice to maintain the stability and effectiveness of the insulin. Insulin should be kept refrigerated until opened and
then can be kept at room temperature for up to 28 days.

C. Holding the needle at a 15° angle to the skin is not the recommended technique for insulin injection. The correct angle for subcutaneous insulin injection is usually 45 or 90 degrees, depending on the client's body habitus and the length of the needle.
D. Using an injection site that is 1 inch from the previous site may lead to lipohypertrophy, a condition characterized by fatty tissue buildup under the skin, which can affect insulin absorption. It is recommended to rotate injection sites to avoid this complication.

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Correct Answer is A

Explanation

A. "I will take a stool softener to prevent constipation." This is correct. Postoperative clients, especially those who are on opioid medications for pain management, are at risk for constipation. Taking a stool softener is a good strategy to prevent this complication after surgery.

B. "I will ask to work the night shift, so I will not be driving in bright sunlight." This is incorrect. Following laser surgery for open-angle glaucoma, clients are typically advised to avoid bright lights and glare, but there is no need to change work schedules. The focus should be on wearing protective sunglasses to shield the eyes from sunlight and glare, not on avoiding daytime work hours.

C. "I will need to use my eye drops for 1 year." This is incorrect. While eye drops may be prescribed to manage intraocular pressure, the duration of use will depend on the specific medication and the client's condition. It is not typically necessary to use them for an entire year after laser surgery, and the client should follow the provider's instructions for tapering or stopping the medication as indicated.

D. "I will need to follow a low-protein diet." This is incorrect. There is no specific dietary restriction for a low-protein diet following laser surgery for open-angle glaucoma. The client should follow a balanced diet as recommended by the healthcare provider.

A. "The actual medical record belongs to the client." B. "A client's medical record information remains confidential, even during an emergency." C. "If the client dies, their family receives their medical record." D. "A client has the right to view their medical record."

Correct Answer is B

Explanation

A. Incorrect. While clients have rights to access their medical records, ownership of the actual record typically remains with the healthcare provider or facility.
B. Correct. The HIPAA Privacy Rule mandates that a client's medical information remains confidential and protected, even during emergencies or when disclosed to other healthcare providers for treatment purposes.
C. Incorrect. In most cases, access to a deceased client's medical records is restricted to authorized individuals, such as next of kin or legal representatives, and is subject to privacy laws. D. Incorrect. While clients have the right to view their medical records under HIPAA, this statement does not specifically address the confidentiality aspect of the Privacy Rule.

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A nurse is reinforcing teaching with a client who was diagnosed with diabetes mellitus and requires insulin injections. Which of the following client statements indicates an understanding of the teaching?

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