A nurse is preparing to measure a post-meal blood glucose level in a patient with diabetes mellitus. What steps should the nurse take?

Prick the central tip of the patient’s finger.

Apply the first drop of blood to the test strip.

Hold the patient’s finger in a dependent position.

Clean the patient’s finger with hexachlorophene.

Answer and Explanation

The Correct Answer is C

A. Prick the central tip of the patient’s finger: The central tip of the finger has more nerve endings, making it more painful. Instead, the side of the fingertip should be used because it has fewer nerve endings and promotes better blood flow.

B. Apply the first drop of blood to the test strip: The first drop of blood may contain interstitial fluid or contaminants (e.g., alcohol residue), leading to inaccurate readings. Instead, the first drop should be wiped away, and the second drop should be used for testing.

C. Hold the patient’s finger in a dependent position: Holding the finger in a dependent position (below heart level) helps increase blood flow to the fingertip, making it easier to obtain an adequate blood sample without excessive squeezing, which could dilute the sample with tissue fluid.

D. Clean the patient’s finger with hexachlorophene: Hexachlorophene is not recommended for skin antisepsis before blood glucose testing. Instead, alcohol wipes or soap and water should be used. The finger should be fully dried before pricking to avoid dilution of the blood sample.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Ulcerative colitis is a chronic inflammatory bowel disease that increases the risk of colorectal cancer. Long-standing ulcerative colitis causes continuous inflammation and damage to the cells of the colon, which can lead to cancer over time.

Choice B rationale

Chronic constipation does not directly increase the risk of colorectal cancer. However, a diet low in fiber and high in fat and red meat, which can contribute to constipation, is associated with an increased risk of colorectal cancer.

Choice C rationale

Biliary colic is a symptom of gallstones and is not a risk factor for colorectal cancer.

Choice D rationale

Duodenal ulcers are a type of peptic ulcer disease and are not a risk factor for colorectal cancer.

A. Avoid sexual activity while the monitor is on. B. Remove the electrodes before going to bed. C. It’s okay to bathe with the electrodes on. D. Keep a diary of your daily activities.

Correct Answer is D

Explanation

Choice A rationale

Avoiding sexual activity while the monitor is on is not typically necessary. The Holter monitor is designed to record the heart’s activity during normal daily activities, including physical activity.

Choice B rationale

Removing the electrodes before going to bed is not recommended. The Holter monitor should be worn continuously, including during sleep.

Choice C rationale

It is not okay to bathe with the electrodes on. The Holter monitor and electrodes should not get wet.

Choice D rationale

Keeping a diary of daily activities is recommended. The client should note the times of various activities and symptoms in a diary. This can help the healthcare provider correlate the heart’s activity with the client’s actions and symptoms.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is preparing to measure a post-meal blood glucose level in a patient with diabetes mellitus. What steps should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a patient about colorectal cancer.Which of the following risk factors should the nurse include in the teaching?

Correct Answer is A

Explanation

A client is about to wear a Holter monitor for the next 24 hours. What advice should the nurse provide?

Correct Answer is D

Explanation

A nurse is preparing a patient for a sigmoidoscopy. In which of the following positions should the nurse place the patient?

A nurse is caring for a young adult patient who has testicular cancer and expresses concern about their sexual function following an orchiectomy of the involved testicle.What responses should the nurse make?

A nurse is assisting with the transfer of a patient from a medical-surgical unit to an intensive care unit following a change in status.What information should the nurse include in the transfer documentation? (Select all that apply.)

A client in bed is experiencing severe shortness of breath. What position should the nurse place the client in?

A nurse is reviewing a patient’s medical record.After reviewing the medical data, which of the following actions should the nurse plan to take?

A client reports, “I have not had a bowel movement in 4 days and I have vomited once or twice.”. Given the client’s cardiovascular and gastrointestinal status, and social history, what should the nurse plan to do first?

A nurse is caring for a client scheduled to undergo an esophagogastroduodenoscopy. What action should the nurse take in preparation for the procedure?

An older adult client with hypothyroidism has been prescribed levothyroxine. What instructions should the nurse provide?