The client newly diagnosed with Type 1 diabetes is to be discharged in the morning and has received no instruction on diabetes.
What should be the nurse’s teaching priority?

The recommended diabetic diet.

Administration of insulin.

Importance of exercise.

Urine testing for ketones.

Answer and Explanation

The Correct Answer is B

Choice A rationale

While understanding the recommended diabetic diet is important for managing type 1 diabetes, it is not the immediate priority for a client who has received no instruction on diabetes management. Without insulin, a person with type 1 diabetes can develop life- threatening diabetic ketoacidosis, regardless of their diet.

Choice B rationale

Administration of insulin is the immediate priority for a client newly diagnosed with type 1 diabetes. In type 1 diabetes, the body does not produce insulin, a hormone that regulates blood sugar levels. Without insulin, blood sugar levels can become dangerously high, leading to diabetic ketoacidosis, a serious condition that requires emergency medical treatment.

Choice C rationale

While exercise is an important part of managing diabetes, it is not the immediate priority for a client newly diagnosed with type 1 diabetes who has received no instruction on diabetes management. Exercise can help regulate blood sugar levels, but without insulin, exercise alone is not sufficient to prevent diabetic ketoacidosis.

Choice D rationale

Urine testing for ketones is an important part of managing type 1 diabetes, especially during illness or stress, when ketone levels can rise quickly. However, it is not the immediate priority for a client newly diagnosed with type 1 diabetes who has received no instruction on diabetes management.

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Correct Answer is D

Explanation

Choice A rationale

While discussing the need for weight loss can be an important part of managing Type 2 diabetes, it should not necessarily be the initial step when developing an educational plan. Weight loss can help improve blood glucose control, but it’s just one aspect of a comprehensive diabetes management plan15.

Choice B rationale

Inviting the client’s family to participate in the program can be beneficial, as it can provide additional support for the client. However, the initial step in developing an educational plan should focus on the client’s understanding and perception of their diagnosis15.

Choice C rationale

Demonstrating how to check glucose using capillary blood glucose monitoring is an important skill for managing Type 2 diabetes. However, before teaching this skill, it’s important to assess the client’s understanding and readiness to learn15.

Choice D rationale

Assessing the client’s perception of what it means to live with diabetes should be the initial step when developing an educational plan. Understanding the client’s perspective can help tailor the education to meet their needs and improve their ability to manage their diabetes15.

A. Has not received proper education on this medication. B. Just completed a full course of an aminoglycoside antibiotic. C. Is currently afebrile. D. Had a prior anaphylactic reaction to penicillin.

Correct Answer is D

Explanation

Choice A rationale

While it’s important for clients to understand their medications, not having received proper education on this medication is not a reason to withhold cefazolin.

Choice B rationale

Completing a full course of an aminoglycoside antibiotic does not contraindicate the use of cefazolin.

Choice C rationale

Being afebrile does not contraindicate the use of cefazolin. Antibiotics are used to treat bacterial infections, not just to reduce fever.

Choice D rationale

A prior anaphylactic reaction to penicillin is a contraindication for administering cefazolin. Cefazolin is a cephalosporin, and there is a risk of cross-reactivity and potential allergic reaction in clients who have a history of severe penicillin allergy.

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The client newly diagnosed with Type 1 diabetes is to be discharged in the morning and has received no instruction on diabetes. What should be the nurse’s teaching priority?

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

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Naxlex Comprehensive Predictor Exams

A client has recently been diagnosed with Type 2 diabetes. What should be the nurse’s initial step when developing an educational plan?

Correct Answer is D

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

The nurse receives an order to administer cefazolin to a client diagnosed with a urinary tract infection. The nurse withholds the medication and notifies the health care provider because the client:

Correct Answer is D

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

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A nurse gives a client 10 units of insulin lispro at 0630. When should the client have breakfast?

What clinical manifestation should the nurse assess for in a patient with uncontrolled diabetes mellitus and ketoacidosis?

A Type 1 diabetic client with a morning (fasting) glucose of 260 mg/dL has been diagnosed with the Somogyi effect from insulin administration. What intervention should the nurse anticipate including in the plan of care?

The client newly diagnosed with Type 1 diabetes is to be discharged in the morning and has received no instruction on diabetes.
What should be the nurse’s teaching priority?