Arrange in order the steps the nurse should take in a focused assessment for a patient with type 2 diabetes mellitus
Choice 1. Nurse notes patient is reluctant to draw up insulin in syringe.
Choice 2. Nurse assesses what the patient already knows.
Choice 3. Nurse has patient practice drawing up insulin.
Choice 4. Nurse calls in diabetic educator.
Choice 5. Nurse notes patient is not aware of differences between hypo- and hyperglycemia.
Correct Answer: 2, 5, 1, 3, 4
Focused assessments are ongoing and continuous. Data are used to evaluate nursing actions and make decisions about whether to continue or change interventions to meet outcomes. Assessments also provide structure for documenting nursing care, enable responses to a disease process or treatment, and identify new problems. For this situation, the nurse should follow the nursing process and begin by assessing what the patient already knows. From this, the nurse would note that the patient does not know the difference between hypo- and hyperglycemia. The nurse would also observe that the patient is reluctant to draw up insulin and would address this reluctance by having the patient practice. Finally the nurse would consult with a diabetic educator to assist with the patient's teaching.
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