The nurse is preparing to teach a 43-year-old man who is newly diagnosed with type 2 diabetes home management of the disease. Which action should the nurse take first?
Demonstrate how to check glucose using capillary blood glucose monitoring.
Assess the patient's perception of what it means to have diabetes.
Discuss the need for the patient to actively participate in diabetes management.
Ask the patient’s family to participate in the diabetes education program.
The Correct Answer is B
The correct action for the nurse to take first when preparing to teach a newly diagnosed 43-year-old man with type 2 diabetes home management of the disease is to assess the patient's perception of what it means to have diabetes. This will help the nurse to identify any misconceptions or fears the patient may have about the condition, and tailor the education to meet the patient's specific needs. Options A, C, and D are important components of diabetes education but can be addressed after the nurse has assessed the patient's perception of the disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Since the patient's blood glucose level is less than 70 mg/dL and they are symptomatic, the first step is to administer 1 mg Glucagon IM. This will help increase the patient's blood glucose level quickly.
After administering Glucagon, the nurse should then call the MD to report the low blood glucose level and discuss any necessary adjustments to the patient's insulin regimen. It is important to note that in this situation, administering Humalog insulin would further lower the patient's blood glucose level and could worsen their symptoms. Encouraging the patient to eat their meal is also important, but it should be done after the administration of Glucagon to help maintain their blood glucose level.
Correct Answer is D
Explanation
Diabetic ketoacidosis (DKA) is a serious complication of diabetes that occurs when the body produces high levels of blood acids called ketones. The initial management of DKA involves fluid resuscitation with intravenous normal saline to correct dehydration and electrolyte imbalances. Therefore, starting an infusion of normal saline at 125 ml/hr is the first prescribed action the nurse should implement.
Bringing the patient a meal is not a priority at this time because the patient's blood glucose levels need to be stabilized before they can safely consume food. Administering Lantus insulin IV and giving sodium bicarbonate 50 mEq IV push are also not the first-line treatments for DKA. Lantus insulin is a long-acting insulin used to treat hyperglycemia over an extended period and should not be given intravenously. Sodium bicarbonate may be used to correct acidosis, but it is not the first priority in DKA management.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today