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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice a reason:
For individuals with Crohn's disease, eating three large meals may not be the best approach as it can overwhelm the digestive system. Smaller, more frequent meals are often recommended to ease the digestion process and better manage symptoms.

Choice b reason:
Drinking water during meals can help with digestion, but there is no specific requirement to limit it to ten ounces. Adequate hydration is important, but the amount should be tailored to individual needs and tolerances.

Choice c reason:
Choosing coffee over cola is not necessarily beneficial for Crohn's disease management. Both beverages can potentially irritate the gastrointestinal tract, and individuals with Crohn's disease are often advised to limit caffeine and carbonated drinks.

Choice d reason:
Increasing protein intake can be beneficial for clients with Crohn's disease, especially if they have experienced weight loss or malnutrition due to their condition. Protein is essential for healing and repair of tissues, and maintaining adequate protein levels is important for overall health.

A. "I cannot stop taking my medication abruptly." B. "This medication is safe with herbal supplements." C. "I have to avoid aged cheese." D. "I can take extra doses as needed for anxiety."

Correct Answer is A

Explanation

Choice A reason:
Duloxetine is a medication that should not be stopped abruptly due to the risk of withdrawal symptoms. Gradual tapering is recommended to minimize these symptoms. This understanding by the client indicates effective medication teaching.

Choice B reason:
The statement about the medication being safe with herbal supplements is incorrect. Patients should consult their healthcare provider before using herbal supplements with duloxetine, as there can be interactions.

Choice C reason:
The need to avoid aged cheese is associated with monoamine oxidase inhibitors (MAOIs), not duloxetine, which is a selective serotonin and norepinephrine reuptake inhibitor (SNRI). This statement does not reflect accurate medication teaching for duloxetine.

Choice D reason:
Taking extra doses for anxiety without consulting a healthcare provider is not recommended. Duloxetine dosing should be consistent and as prescribed by a healthcare provider. This statement suggests a misunderstanding of medication management.

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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:

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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