the nurse is preparing to teach a 43 year old man who is newly diagnosed with type 2 diabetes about home management of the disease which action should

ATI RN

ATI Leadership Practice A

1. The nurse is preparing to teach a 43-year-old man who is newly diagnosed with type 2 diabetes about home management of the disease. Which action should the nurse take first?

A. Ask the patient�s family to participate in the diabetes education program.
B. Assess the patient�s perception of what it means to have diabetes mellitus.
C. Demonstrate how to check glucose using capillary blood glucose monitoring.
D. Discuss the need for the patient to actively participate in diabetes management.

Correct answer: B

Rationale:

2. Which of the following would be considered an urgent and important issue?

A. Replacing two staff who were injured while caring for a violent patient
B. Updating the employee break room with new furniture
C. Preparing educational packets on self-administration of insulin for patients
D. Arranging a team-building event for staff members

Correct answer: A

Rationale: The correct answer is A because replacing staff injured while caring for a violent patient is both urgent and important. This issue directly relates to staff safety and patient care, requiring immediate attention. Choice B is not urgent or crucial to patient care. Choice C is important but may not be as urgent as the situation in choice A. Choice D is not as critical as replacing injured staff, making it a less urgent and important issue.

3. A 27-year-old patient admitted with diabetic ketoacidosis (DKA) has a serum glucose level of 732 mg/dL and serum potassium level of 3.1 mEq/L. Which action prescribed by the healthcare provider should the nurse take first?

A. Place the patient on a cardiac monitor
B. Administer IV potassium supplements
C. Obtain urine glucose and ketone levels
D. Start an insulin infusion at 0.1 units/kg/hr

Correct answer: A

Rationale: In a patient with diabetic ketoacidosis (DKA), the initial priority is to assess for any cardiac arrhythmias due to electrolyte imbalances. Since the patient has a low serum potassium level of 3.1 mEq/L, placing the patient on a cardiac monitor is crucial to monitor for any potential cardiac complications. Administering IV potassium supplements (Choice B) may be needed, but it is not the first action to take. Obtaining urine glucose and ketone levels (Choice C) and starting an insulin infusion (Choice D) are important interventions in managing DKA, but ensuring patient safety by monitoring for arrhythmias takes precedence.

4. According to Maslow's theory, which level of needs must be met first?

A. Self-actualization needs
B. Esteem needs
C. Safety needs
D. Physiological needs

Correct answer: D

Rationale: According to Maslow's hierarchy of needs, physiological needs are at the lowest level and must be satisfied first before an individual can progress to fulfilling higher-level needs. Physiological needs include basic requirements for survival such as food, water, shelter, and sleep. Esteem needs, safety needs, and self-actualization needs are higher-level needs that can only be addressed once physiological needs are adequately met. Therefore, the correct answer is D, physiological needs.

5. After correcting the IVF infusion rate, what should be the next step in the client's care?

A. Notify family
B. Discipline the previous nurse
C. Complete an incident report
D. Obtain legal consultation

Correct answer: C

Rationale: The correct next step in the client's care after correcting the IVF infusion rate is to complete an incident report. This report is crucial for documenting the event, identifying the root cause of the error, and implementing measures to prevent similar incidents in the future. Notifying the family, disciplining the previous nurse, and obtaining legal consultation are not immediate priorities in this situation. Family notification may be necessary later but ensuring patient safety and proper documentation come first. Disciplining the previous nurse should be handled through the appropriate professional channels, not as an immediate response to the incident. Legal consultation may be needed in some cases but is not the initial step required after correcting the error and ensuring the client's safety.