The home care nurse is caring for an older adult client who has type 1 diabetes. The client has visual impairment and cannot read the numbers on the syringe when preparing insulin for administration nor afford the cost of prefilled auto syringes.
What strategy might the nurse use to help this client comply with insulin needs between visits?
Prepare a week’s supply of syringes and refrigerate.
Ask a neighbor to come over every day to prepare the medication.
Have the client use a magnifying glass.
Change the client to oral antidiabetics.
The Correct Answer is C
This strategy can help the client read the numbers on the syringe and prepare the correct dose of insulin. A magnifying glass is also an affordable and accessible tool for the client.
Choice A is wrong because preparing a week’s supply of syringes and refrigerating them can affect the potency and sterility of insulin.
It can also increase the risk of errors or confusion.
Choice B is wrong because asking a neighbor to come over every day to prepare the medication can compromise the client’s privacy and independence.
It can also be unreliable and inconvenient for both parties.
Choice D is wrong because changing the client to oral antidiabetics is not possible for type 1 diabetes.
People with type 1 diabetes need to take insulin for life because their pancreas cannot make insulin.
Oral antidiabetics are only effective for people with type 2 diabetes who have functioning pancreatic beta cells
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Desmopressin is a synthetic analog of antidiuretic hormone (ADH) that acts on the kidneys to increase water reabsorption and decrease urine output. Neurogenic diabetes insipidus is a condition caused by a deficiency of ADH due to damage to the hypothalamus or pituitary gland. Patients with this condition have excessive thirst and urination, dehydration, and low urine specific gravity.
Choice B. Methylprednisolone is wrong because it is a corticosteroid that suppresses inflammation and immune response.
It is not used to treat diabetes insipidus.
Choice C. Dexamethasone is wrong because it is also a corticosteroid that has similar effects as methylprednisolone.
It is not used to treat diabetes insipidus.
Choice D. Physostigmine is wrong because it is a cholinesterase inhibitor that increases the levels of acetylcholine in the body.
It is used to treat myasthenia gravis and anticholinergic poisoning.
It has no effect on diabetes insipidus.
Correct Answer is C
Explanation
The nurse would assess these factors to determine the need for therapy. Some possible explanations for the other choices are:
Choice A. Number of times client’s family reports the client is nauseated.
This is not a reliable indicator of the severity or cause of nausea and vomiting.
The nurse should assess the client directly and not rely on the family’s reports.
Choice B. How well the client is eating.
This is not a specific or objective measure of nausea and vomiting.
The client may have other reasons for not eating well, such as loss of appetite, taste changes, or pain.
The nurse should also monitor the client’s weight, hydration status, and electrolyte levels.
Choice D. Client’s nutritional status and fluid balance.
These are important aspects of the client’s overall health, but they are not directly related to nausea and vomiting.
The nurse should assess these factors as part of the comprehensive care plan, but they are not sufficient to determine the need for therapy.
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