The nurse teaches a patient to self-administer his insulin. How can the nurse best evaluate whether the patient understands the instruction?

Ask the patient an open-ended question about feelings related to the procedure

Ask the patient to repeat the information in the insulin pamphlet that was provided

Have the patient list the steps of the procedure for insulin administration

Observe as the patient prepares and injects a dose of insulin

Answer and Explanation

The Correct Answer is D

A. Ask the patient an open-ended question about feelings: This might reveal anxieties but not necessarily confirm understanding of the steps.
B. Ask the patient to repeat the information in the pamphlet: Repeating information doesn't guarantee comprehension of how to perform the task.
C. Have the patient list the steps: This can be helpful, but observing actual performance allows for correcting any errors in technique.
D. Observe as the patient prepares and injects a dose of insulin: Direct observation is the most reliable way to assess if the patient can safely and accurately self-administer insulin.

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Correct Answer is ["B","C","E"]

Explanation

A. Pancreatitis: Pancreatitis is not directly caused by diabetes. It has different etiologies, such as gallstones, alcohol use, and certain medications.
B. New blindness: Diabetes is a leading cause of new cases of blindness among adults due to diabetic retinopathy, which damages the blood vessels in the retina.
C. Nontraumatic lower extremity amputations: Diabetes is the primary cause of nontraumatic lower extremity amputations due to complications such as peripheral neuropathy and poor circulation leading to severe infections and gangrene.
D. Hepatitis: Hepatitis is an inflammation of the liver, commonly caused by viral infections, alcohol abuse, or other factors, not directly by diabetes
E. Renal failure: Diabetes is a major cause of end-stage renal disease (ESRD) due to diabetic nephropathy, which damages the kidneys over time.

A. Erythromycin (E-mycin) B. piperacillin-tazobactar (Zosyn) C. ampicillin sulbactam (Unasyn) D. cefazolin (Kefzol)

Correct Answer is A

Explanation

A. Erythromycin (E-mycin): Erythromycin is a macrolide antibiotic, which has a different chemical structure from penicillins, making it safe for patients with penicillin allergies.
B. Piperacillin-tazobactam (Zosyn): Piperacillin-tazobactam is a penicillin derivative and should be avoided in patients with penicillin allergies due to the risk of cross-reactivity.
C. Ampicillin sulbactam (Unasyn): Ampicillin is a penicillin antibiotic, and therefore, should not be used in patients with penicillin allergies.
D. Cefazolin (Kefzol): Cefazolin is a cephalosporin antibiotic. There is a potential for cross-reactivity in patients with penicillin allergies, especially if the allergy is severe. It may be used with caution or avoided depending on the patient's allergy history.

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The nurse teaches a patient to self-administer his insulin. How can the nurse best evaluate whether the patient understands the instruction?

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Naxlex Comprehensive Predictor Exams

Untreated or improperly treated diabetes is the primary cause of the following: (Select All that Apply.)

Correct Answer is ["B","C","E"]

Explanation

The nurse is admitting a patient to the acute care floor. While obtaining the history, the client tells the nurse she is allergic to penicillin. Which of the following medications, if ordered by the physician, would be safe for this client?

Correct Answer is A

Explanation

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