The nurse plans to begin teaching a 7-year-old patient and the child's mother about diabetes management. Which action should the nurse take initially?

Limit their first session to 40 minutes.

Have them handle the necessary equipment.

Give them an illustrated book to read.

Evaluate their readiness to learn.

Answer and Explanation

The Correct Answer is D

Evaluate their readiness to learn.

Choice A rationale:

Limiting the session to 40 minutes might not be the initial step, as it doesn't assess the patient and mother's readiness to learn. Teaching sessions should be tailored to their learning capacity, and time restrictions should come after assessing their readiness.

Choice B rationale:

Having them handle equipment is a valuable step in teaching, but it doesn't address the foundational aspect of assessing their readiness to learn. Jumping straight into equipment handling might not be effective if they are not prepared to absorb the information.

Choice C rationale:

Giving an illustrated book might engage visual learners, but without evaluating their readiness, this approach might not be the most effective starting point. Readiness assessment helps tailor teaching methods to their learning styles and capacities.

Choice D rationale:

Evaluating their readiness to learn is the best initial action. Assessing their understanding, motivation, and any barriers to learning allows the nurse to create a customized teaching plan. This approach enhances the effectiveness of subsequent teaching strategies.

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Correct Answer is B

Explanation

Choice A rationale:

The identification band falling off the patient's leg is a documentation concern and doesn't require immediate action unless the patient is at risk of wandering or abduction.

Choice B rationale:

IV fluids should be changed every 24 hours to prevent bacterial growth and infection. Using fluids that are 48 hours old increases the risk of introducing infection to the patient.

Choice C rationale:

The crib rails being halfway up is not an immediate concern unless the child is at risk of falling or climbing out of the crib.

Choice D rationale:

Damp bed linen can be addressed during the next bedding change. It may not require immediate action unless the patient's skin integrity is at risk.

A. Fever and hypertension. B. Increased specific gravity. C. Tachypnea and tachycardia. D. Bulging posterior fontanel.

Correct Answer is C

Explanation

Choice A rationale:

Fever and hypertension are not typical findings in moderate dehydration. Dehydration often leads to hypotension rather than hypertension, and fever is not a direct consequence of dehydration.

Choice B rationale:

Increased specific gravity can be a sign of dehydration, but it is not as specific or sensitive as tachypnea (rapid breathing) and tachycardia (elevated heart rate), which occur due to the body's compensatory mechanisms in response to dehydration.

Choice C rationale:

Tachypnea and tachycardia are key indicators of moderate dehydration in infants. The body tries to maintain perfusion by increasing the heart rate and respiratory rate. These signs are more reliable indicators of dehydration than specific gravity or fever.

Choice D rationale:

Bulging posterior fontanel is not a typical finding in dehydration. A sunken fontanel might be more indicative of dehydration, as fluid shifts from the intracellular to the extracellular space.

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The nurse plans to begin teaching a 7-year-old patient and the child's mother about diabetes management. Which action should the nurse take initially?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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