When the nurse attempts to teach self-administration of insulin injections to a client who is newly diagnosed with type 1 diabetes mellitus (DM), the client tells the nurse in a loud voice to leave the room.
Which action should the nurse take?
Refer client to the social worker for support therapy.
Encourage client to implement relaxation techniques.
Leave the client's room and return later in the day.
Explain that insulin is a life-saving drug for the client.
Explain that insulin is a life-saving drug for the client.
The Correct Answer is C
Choice A rationale:
Referring the client to a social worker for support therapy may be premature at this stage. The client's initial reaction may be due to fear or anxiety about the diagnosis and self-administration of insulin. Pushing the client into therapy without assessing their readiness may not be appropriate.
Choice B rationale:
Encouraging the client to implement relaxation techniques assumes that the client is open to learning and just needs help with anxiety management. However, the client's refusal to have the nurse in the room suggests that they are not currently receptive to teaching. It's important to address the client's emotional state first.
Choice C rationale:
Leaving the client's room and returning later in the day is the most appropriate initial action. The client's loud refusal indicates a need for privacy and emotional space. By respecting the client's wishes and revisiting the teaching later, the nurse can establish trust and build a better rapport.
Choice D rationale:
Explaining that insulin is a life-saving drug is informative but may not be effective in this situation, as the client has already requested the nurse to leave the room. Providing information about the importance of insulin should come after establishing a therapeutic nurse-client relationship.
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Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Metabolic alkalosis is unlikely in this scenario because the client is experiencing anxiety, fear, and hyperventilation, which typically result in increased respiratory rate, leading to the loss of carbon dioxide (CO2) through exhalation. This loss of CO2 would cause a decrease in bicarbonate (HCO3-) levels and result in metabolic acidosis, not metabolic alkalosis.
Choice B rationale:
Respiratory alkalosis occurs when there is excessive loss of CO2 due to hyperventilation, as seen in this client's case. However, the primary disturbance here is metabolic in nature. The hyperventilation is the body's response to compensate for the underlying metabolic acidosis by attempting to blow off CO2 to increase pH. Therefore, metabolic acidosis is the primary imbalance.
Choice D rationale:
Respiratory acidosis is characterized by increased levels of CO2 in the blood due to inadequate ventilation. In this scenario, the client is hyperventilating, which would lead to a decrease in CO2 levels and not an increase, as seen in respiratory acidosis. Additionally, the primary acid-base disturbance is metabolic acidosis in this case.
Correct Answer is ["A","C","E"]
Explanation
Choice A rationale:
Including the family in the discharge teaching is essential, especially when dealing with a client who has communication barriers such as hearing loss and illiteracy. Involving the daughter in the teaching process ensures that she is aware of the client's care needs and can provide support at home.
Choice B rationale:
Encouraging the client to attend reading classes is not a practical intervention for an older adult with hearing loss. Reading classes may not address the immediate communication needs of the client, and the client's primary caregiver, in this case, is the daughter who will provide daily care and support.
Choice C rationale:
Facing the client when speaking is a crucial intervention when dealing with someone who has hearing loss. By facing the client, the nurse ensures that the client can see their lips and facial expressions, which can aid in lip-reading and understanding the communication better.
Choice D rationale:
Speaking loudly when teaching is not always the best approach for clients with hearing loss. While it may seem intuitive to speak loudly, it can distort speech and make it more challenging for the client to understand. Clear and slow speech, along with visual cues, is often more effective.
Choice E rationale:
Providing the daughter with written instructions is essential, especially when the client has limited reading skills. Written instructions can serve as a reference guide for the daughter, helping her provide care and support to her father accurately.
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