The nurse planning discharge needs for a client with macular ...

[rmenurse]

The nurse planning discharge needs for a client with macular degeneration and type 1 diabetes mellitus should include which of the following in this client's discharge needs?
 
  1. Information on assisted living facilities
   2. Information on Medic-Alert bracelets
   3. Referral to home care to ensure safety with administering insulin at home
   4. Information on the need to have routine eye examinations every 5 years

Question 2

The client at 20 weeks' gestation has not decided on a feeding method for her infant. She asks the nurse for advice. The nurse presents information about the advantages and disadvantages of formula-feeding and breastfeeding.
 
  Which statements by the client indicate that the teaching was successful? 1. Formula-feeding gives the baby protection from infections..
   2. Breast milk cannot be stored; it has to be thrown away after pumping..
   3. Breastfeeding is more expensive than formula-feeding..
   4. My baby has a lower risk of food allergies if I breastfeed..

[Briannahope]

Answer to Question 1

3. Referral to home care to ensure safety with administering insulin at home

Rationale:
The client has macular degeneration and type 1 diabetes, which means the client needs insulin at least once per day. The nurse should refer the client for home care to ensure that the client can safely provide insulin at home. The client may or may not need to move to an assisted living facility. The Medic-Alert bracelet might be needed for the diagnosis of type 1 diabetes mellitus but not for macular degeneration. Routine eye examinations should be done more frequently than every 5 years.

Answer to Question 2

4. My baby has a lower risk of food allergies if I breastfeed..

Rationale:
Breast milk provides newborns with immunoglobulins and reduces the risk of food allergies in children. Formula does not provide the baby with protection from infections like breast milk does. Breast milk can be refrigerated or frozen after pumping. Formula must be purchased and, therefore, is more expensive than breastfeeding.