Author Question: The nurse is teaching the client how to administer insulin before discharge. The nurse teaches the ... (Read 44 times)

Pea0909berry · **on:** Jul 22, 2018

The nurse is teaching the client how to administer insulin before discharge. The nurse teaches the safest and most effective sites for insulin injection. The nurse is demonstrating which of the following?

1. The psychomotor domain
2. The cognitive domain
3. Demonstration and role modeling
4. Adaptation to changing health status

Question 2

The nurse receives a call from the mother of a 16-month-old child who is recovering from diarrhea. The mother reports the diaper area is red, excoriated, and painful to touch.

The nurse recommends: (Select all that apply.)
Standard Text: Select all that apply.
1. Washing the area with a strong antiseptic soap.
2. Using diaper wipes after every diaper change.
3. Allowing the area to air dry every two hours.
4. Over-the-counter diaper creams or petroleum jelly can be used.
5. Trying a different brand of diaper.

Carissamariew · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

2
Rationale: Discussing the sites and safety is an example of use of the cognitive domain. Asking the client to demonstrate giving the injection is an example of psychomotor domain. Demonstration and role modeling are methods of applying a learning theory. Adaptation to a changing health status is a topic of client education.

Answer to Question 2

3,4
Rationale: Exposure to the air can help to thoroughly dry the area and prevent further skin damage. Over-the-counter creams or petroleum jelly can create a barrier between the injured skin and further exposure to urine and stool, preventing further skin breakdown. The area should be washed with a mild soap and water, not a strong antiseptic soap that will cause further damage. Diaper wipes should be avoided because many contain alcohol, which will further damage the skin. Changing brand of diapers is recommended if diaper dermatitis develops without a known cause, but in this case, the cause was diarrhea, so there is no need to change brands of diapers.