The nurse is evaluating the teaching of self-monitoring of blood glucose levels in a newly diagnosed Type 2 diabetic client. The nurse identifies a need for additional teaching when the client:
Warms the hands with water prior to the procedure.
Alternates fingers used in a systematic manner.
Chooses the center of the finger pad as a puncture site.
Verbalizes that a random result of 115 mg/dL indicates good glucose control.
The Correct Answer is D
Choice a reason:
Warming the hands with water before testing is actually a recommended practice. It helps increase blood flow to the fingertips, making it easier to get a sufficient blood sample for testing. Cold hands can restrict blood flow, leading to difficulty in obtaining a blood sample and potentially inaccurate results.
Choice b reason:
Alternating fingers for blood glucose testing is also a recommended practice. It helps prevent soreness and calluses on the fingers from repeated pricks. Using different fingers or different sides of the same finger can help reduce pain and potential damage to the skin.
Choice c reason:
Choosing the center of the finger pad as a puncture site is not recommended. The sides of the fingertips are preferred because they have fewer nerve endings, making the process less painful. The center of the finger pad has a denser nerve supply and can lead to more discomfort during the test.
Choice d reason:
A random blood glucose result of 115 mg/dL is slightly above the normal range for non-diabetics, which is typically between 70 to 99 mg/dL when fasting. For someone with diabetes, this result might be considered within a target range, depending on individual treatment goals set by healthcare providers. However, it's important to note that a single glucose reading does not provide a complete picture of glucose control. An A1C test, which reflects average blood glucose levels over the past 2-3 months, is also necessary to assess overall glucose management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
Choice A Reason:
The process of being approved for bariatric surgery is not relatively simple. It involves a comprehensive evaluation that includes medical tests, psychological assessment, and dietary counseling. The process can take several months to ensure that the patient is a suitable candidate for surgery.
Choice B Reason:
Behavioral therapy has been shown to be effective for clients seeking to lose weight. It involves strategies such as self-monitoring, developing problem-solving skills, and establishing a support network, which can lead to significant and sustainable weight loss.
Choice C Reason:
Obesity is known to increase the risk of morbidity and mortality. Excess body weight is associated with a higher risk of developing chronic diseases such as type 2 diabetes, cardiovascular diseases, and certain cancers.
Choice D Reason:
Diet and exercise are indeed critical components of a successful weight loss program. A combination of a calorie-restricted diet and regular physical activity is the most effective way to achieve and maintain weight loss.
Choice E Reason:
While weight loss drugs can be an adjunct to diet and exercise for weight loss, they are not universally safe and effective. They can have side effects and are not suitable for everyone. Their use should be evaluated on a case-by-case basis, and they are typically prescribed when lifestyle modifications have not been sufficient.
Correct Answer is C
Explanation
Choice A Reason
While coronary artery spasm can cause chest pain, it is not the typical cause of unstable angina. Unstable angina is generally due to atherosclerotic heart disease, where plaque buildup in the coronary arteries restricts blood flow. This statement does not fully reflect an understanding of the condition.
Choice B Reason
Beta blockers are often prescribed to manage angina as they reduce the heart's workload and oxygen demand. However, they do not always prevent angina pain, especially in the case of unstable angina, which can occur unpredictably and not just during exertion. This statement shows partial understanding but lacks the urgency associated with unstable angina.
Choice C Reason
Seeking immediate medical attention when experiencing angina pain is crucial, especially in the case of unstable angina, which can signal an impending heart attack. This statement indicates that the client understands the seriousness of their condition and the need for prompt action.
Choice D Reason
While rest can help alleviate stable angina pain, unstable angina is less predictable and may not be relieved by rest. This type of angina requires medical evaluation to prevent more serious complications, such as myocardial infarction. This statement does not convey an adequate understanding of the condition.
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