A nurse is teaching a client to administer insulin.
The nurse should identify which of the following actions as a priority?
Assess the client’s readiness for learning.
Ask the client to demonstrate the injection technique.
Show the client how to draw up the insulin in a syringe.
Develop short-term goals for the client in the teaching plan.
The Correct Answer is B
Choice A rationale
Assessing the client’s readiness for learning is important, but it is not the priority action when teaching a client to administer insulin. The priority is to ensure the client can perform the task correctly to manage their condition effectively.
Choice B rationale
Asking the client to demonstrate the injection technique is the correct answer. This action ensures that the client has understood the instructions and can perform the task correctly, which is crucial for their safety and effective management of their diabetes.
Choice C rationale
Showing the client how to draw up the insulin in a syringe is an important step in the teaching process, but it is not the priority action. The priority is to ensure the client can perform the injection technique correctly.
Choice D rationale
Developing short-term goals for the client in the teaching plan is important for overall education and management, but it is not the priority action when teaching a client to administer insulin. The priority is to ensure the client can perform the injection technique correctly.
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Related Questions
Correct Answer is D
Explanation
Choice A rationale
Correcting the physician’s orders to match the chart is not within the nurse’s scope of practice. Nurses should not alter physician orders.
Choice B rationale
Ignoring the discrepancy is not appropriate. Nurses have a responsibility to ensure patient safety and accurate documentation.
Choice C rationale
Documenting the discrepancy but taking no further action does not address the potential risk to patient safety. Further action is necessary.
Choice D rationale
Documenting the discrepancy and notifying the physician is the correct course of action. This ensures that the physician is aware of the issue and can make any necessary corrections.
Correct Answer is B
Explanation
Choice A rationale
The right supervision is one of the five rights of delegation, but it is not the correct answer for this question. The right supervision ensures that the delegated task is performed correctly and safely, with appropriate oversight and support from the delegating nurse.
Choice B rationale
The right person is correct. The right person ensures that the task is delegated to a qualified and competent individual who has the necessary education, training, and experience to perform the task safely and effectively.
Choice C rationale
The right task is one of the five rights of delegation, but it is not the correct answer for this question. The right task ensures that the task being delegated is appropriate for the patient’s condition and within the scope of practice for the person to whom it is being delegated.
Choice D rationale
The right circumstances is one of the five rights of delegation, but it is not the correct answer for this question. The right circumstances ensure that the task is delegated in an appropriate setting and situation, considering the patient’s condition and the availability of resources.
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