A nurse is teaching about disease management for a client who has type 1 diabetes mellitus.
Which statement made by the client indicates an understanding of the teaching?
"A weight reduction program will make me hypoglycemic.”.
"Insulin allows me to eat ice cream at bedtime.”.
"I give the insulin injections in my abdominal area.”.
"I am to take my blood sugar reading after meals.”.
The Correct Answer is C
Choice A rationale:
Weight reduction programs are generally beneficial for type 2 diabetes, not type 1.
Choice B rationale:
Insulin does not permit unrestricted dietary choices.
Choice C rationale:
Insulin injections are often given in the abdominal area due to its high vascularity, promoting faster absorption.
Choice D rationale:
Blood sugar readings are typically taken before meals to determine insulin dosage.
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Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Determining if the client needs to continue IV therapy is important, but it is not the first action the nurse should take. The nurse should first address the immediate problem, which is the irritated IV site.
Choice B rationale:
Initiating a new IV line in the other extremity is necessary, but not the first action. The nurse should first discontinue the existing IV line to prevent further irritation or infection.
Choice C rationale:
The nurse should first discontinue the existing IV line. This is because the symptoms indicate that the client might have developed phlebitis, an inflammation of the vein, which requires immediate discontinuation of the IV line.
Choice D rationale:
Applying a hot pack to the irritated site can help reduce inflammation and discomfort, but it is not the first action. The nurse should first discontinue the IV line to prevent further complications.
Correct Answer is B
Explanation
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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