The client newly diagnosed with insulin dependent diabetes is to be discharged in the morning and has received no instruction on diabetes. The nurse's teaching priority is to instruct the client in:

importance of exercise.

administration of insulin.

the diabetic diet.

urine testing for ketones.

Answer and Explanation

The Correct Answer is B

A.   While exercise is an important aspect of diabetes management, particularly for blood glucose control and overall health, it is not the immediate priority for a newly diagnosed client. Understanding how to manage blood glucose levels is more critical initially.
B.   For a client who is newly diagnosed with insulin-dependent diabetes, learning how to administer insulin is essential. This includes understanding how to prepare, inject, and store insulin, as well as recognizing the signs of hypoglycemia and hyperglycemia. Proper insulin administration is crucial for managing blood glucose levels and preventing complications.
C.   Understanding dietary management is important in diabetes care, as it plays a significant role in blood sugar control. However, without knowing how to administer insulin, a client may struggle to manage their blood glucose levels effectively, making insulin administration a higher priority initially.
D.   While monitoring urine for ketones is important, particularly in cases of potential diabetic ketoacidosis (DKA), this is not the first priority for a newly diagnosed client. The focus should be on fundamental skills and knowledge for managing diabetes, such as insulin administration.

Nursing Test Bank

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Correct Answer is C

Explanation

A. While positioning a patient prone can help with certain surgical recovery situations, it is not typically used immediately after an above-the-knee amputation. Additionally, elevating the arms may not provide any benefit and could cause discomfort.
B. This position can increase the risk of contractures in the residual limb, especially with an above-the- knee amputation. Keeping the stump flat may also lead to swelling and discomfort.
C. This position allows for proper elevation of the stump, which can help reduce swelling and promote healing. Supporting the stump on pillows prevents the risk of contractures and maintains the limb in a neutral position. It provides comfort and stability while facilitating blood flow.
D. While this position can help with venous return and reduce the risk of complications such as orthostatic hypotension, it is not specifically beneficial for an above-the-knee amputation recovery. It may not adequately address the need for proper stump support and elevation.

A. infectious agent and reservoir. B. portal of exit and mode of transmission. C. mode of transmission and portal of entry. D. susceptible host and infectious agent.

Correct Answer is C

Explanation

A. This option refers to the pathogens themselves (infectious agents) and the places where they live and multiply (reservoirs). Washing hands does not directly affect the relationship between these two.
B. The portal of exit refers to how an infectious agent leaves the reservoir (e.g., through feces, urine, etc.), and the mode of transmission refers to how the agent spreads (e.g., via hands, surfaces, etc.). Handwashing helps reduce the potential for pathogens to be transmitted but does not specifically break the chain between these two links.
C. Handwashing after using the bathroom effectively breaks the chain of infection by interrupting the mode of transmission (direct contact with contaminated hands) and preventing pathogens from entering another person's body (portal of entry). By cleaning hands, the risk of spreading infectious agents to others is significantly reduced.

D. This option refers to the relationship between a person who is vulnerable to infection (susceptible host) and the pathogens that cause disease (infectious agents). While handwashing helps prevent infections, it primarily acts on the transmission aspect rather than directly affecting susceptibility.

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The client newly diagnosed with insulin dependent diabetes is to be discharged in the morning and has received no instruction on diabetes. The nurse's teaching priority is to instruct the client in:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who has returned to the nursing unit from the post anesthesia care unit (PACU) 40 minutes ago following an above the knee amputation (AKA) of the right leg. In which position should the nurse place the client at this time?

Correct Answer is C

Explanation

The nurse recognizes that teaching a client to wash the hands after using the bathroom is an attempt to break the chain of infection between the:

Correct Answer is C

Explanation

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