The nurse is planning a class about blood glucose monitoring for a group of clients with diabetes mellitus. Which timing of glucose testing would apply for any client regardless of the client's age or type of diabetes?

Prior to exercising.

Before going to bed.

Immediately after meals.

During acute illness.

Answer and Explanation

The Correct Answer is D

A. Prior to exercising: Testing before exercise is important, especially for clients on insulin, but may not be necessary for all clients depending on their diabetes management and regimen.

B. Before going to bed: This is often recommended for insulin-dependent diabetics to avoid nocturnal hypoglycemia, but it's not universally required for all clients.

C. Immediately after meals: Postprandial glucose testing is useful, especially for gestational diabetes or insulin adjustments, but it is not routinely required for all diabetics.

D. During acute illness: All clients with diabetes should monitor blood glucose more frequently during illness, as stress hormones can cause hyperglycemia or unexpected hypoglycemia.

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Correct Answer is D

Explanation

A. Ask family members to remain with the client in the evenings from 1700 to 2100: While family presence can offer comfort, it is not always feasible and doesn’t directly address the environmental management needed for sundowning behaviors.

B. Administer a prescribed PRN benzodiazepine at the onset of a confused state: Though medications may help in acute cases, routine pharmacologic management is not the first-line intervention due to risks like oversedation and increased fall risk in older adults.

C. Postpone administration of nighttime medications until after 2300: Delaying medications may interfere with sleep hygiene and the efficacy of routine medications that aid in rest or symptom management.

D. Ensure that the client is assigned to a room close to the nurses' station: Proximity to staff allows for more frequent monitoring and faster intervention during episodes of confusion, helping prevent injury and manage behaviors associated with sundowning.

A. Names 3 home safety hazards to be resolved immediately. B. States 4 risk factors for the development of osteoporosis. C. Identifies 2 treatments for constipation due to immobility. D. Lists 5 calcium-rich foods to be added to the daily diet.

Correct Answer is A

Explanation

A. Names 3 home safety hazards to be resolved immediately: This addresses fall prevention, which is the most immediate and critical concern in osteoporosis due to the high risk of fractures from minimal trauma.

B. States 4 risk factors for the development of osteoporosis: While understanding risk factors is important for prevention, it is less urgent than addressing environmental hazards that could lead to injury.

C. Identifies 2 treatments for constipation due to immobility: Managing constipation is relevant for immobility but not a top priority compared to fall and fracture risk.

D. Lists 5 calcium-rich foods to be added to the daily diet: Dietary calcium supports long-term bone health but does not immediately reduce the risk of injury like eliminating hazards does.

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The nurse is planning a class about blood glucose monitoring for a group of clients with diabetes mellitus. Which timing of glucose testing would apply for any client regardless of the client's age or type of diabetes?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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