The nurse is teaching a male adolescent recently diagnosed with type 1 diabetes mellitus (DM) about self-injecting insulin. Which approach is best for the nurse to use to evaluate the effectiveness of the teaching?
Have the adolescent list the procedural steps for safe insulin administration.
Review his glycosylated hemoglobin level 3 months after the teaching session.
Observe him as he demonstrates the self-injection technique to another diabetic adolescent.
Ask the adolescent to describe his level of comfort with injecting himself with insulin.
The Correct Answer is C
Choice A reason: Listing the procedural steps is helpful but does not demonstrate practical competence.
Choice B reason: Reviewing glycosylated hemoglobin levels provides information about long-term glucose control but does not directly assess the technique.
Choice C reason: Observing the adolescent as he demonstrates the self-injection technique ensures that he has understood and can correctly perform the procedure, providing the best evaluation of teaching effectiveness.
Choice D reason: Describing the level of comfort provides insight into his confidence but not necessarily his technical competence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
Choice A reason: The sedimentation rate (ESR) is a common test used to detect inflammation associated with conditions such as rheumatoid arthritis. An elevated ESR indicates the presence of inflammation in the body.
Choice B reason: Anti-cyclic citrullinated peptide (anti-CCP) antibodies are highly specific for rheumatoid arthritis and are useful in confirming the diagnosis. The presence of these antibodies can help distinguish RA from other inflammatory conditions.
Choice C reason: D-Dimer is primarily used to rule out thrombotic conditions such as deep vein thrombosis and pulmonary embolism. It is not specifically related to the diagnosis or management of rheumatoid arthritis.
Choice D reason: C-reactive protein (CRP) is another marker of inflammation that is often elevated in rheumatoid arthritis. It provides information about the level of inflammation and can be used to monitor disease activity and response to treatment.
Choice E reason: While a white blood cell count can provide general information about infection or inflammation, it is not specific to rheumatoid arthritis and is not as useful as the other tests mentioned for diagnosing or managing RA.
Correct Answer is A
Explanation
Choice A reason: Low fat yogurt is a good source of calcium and vitamin D, which are important nutrients for postmenopausal women to maintain bone health and prevent osteoporosis.
Choice B reason: Mixed berries are healthy and high in antioxidants, but they do not specifically provide the nutrients that postmenopausal women need most for bone health.
Choice C reason: Carrots are high in beta-carotene but are not a primary source of calcium or vitamin D.
Choice D reason: Beets are nutritious but do not offer the specific benefits of calcium and vitamin D needed by postmenopausal women.
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