Which action by the patient who is self-monitoring blood glucose indicates a need for additional teaching?

Wash the puncture site using warm water and soap.

Says the result of 120 mg indicates good blood sugar control.

Hang the arm down for a minute before puncturing the site.

Choose a puncture site in the center of the finger pad.

Answer and Explanation

The Correct Answer is D

When performing a self-monitoring blood glucose test, it is essential to choose the puncture site on the side of the fingertip, slightly oﬀ-center, and to rotate the puncture sites to prevent lipoatrophy and injury to the nerves and blood vessels in the finger. Puncturing the center of the fingertip can lead to pain, injury to the nerves, and tissue damage.

Options a, b, and c are correct and indicate appropriate actions during self-monitoring of blood glucose. Washing the puncture site using warm water and soap helps to reduce the risk of infection. Waiting for a minute with the arm down before puncturing the site helps to increase blood ﬂow and make it easier to obtain a blood sample. A blood glucose result of 120 mg/dL indicates good blood sugar control within the target range for many patients with diabetes.

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Correct Answer is C

Explanation

The nurse will discuss using rapid-acting insulin such as Lispro (Humalog) for mealtime coverage in a patient with diabetes who is starting insulin therapy. Rapid-acting insulin begins to work quickly after injection, usually within 15 minutes, and peaks at around 1 hour. This makes it an eﬀective choice for covering the rise in blood sugar that occurs after meals.

Options A, B, and D are all long-acting insulins that are used to provide a basal level of insulin coverage throughout the day but are not appropriate for mealtime coverage.

A. "You will need to get frequent laboratory tests to monitor your thyroid hormone levels." B. "You will only need to take the drug for about 3 to 6 months." C. "Don't take more of the drug than prescribed to prevent hyperthyroidism symptoms." D. "Check with your primary health care provider if you take any other medication or herb.”

Correct Answer is ["A","C","D"]

Explanation

The correct answers are a, c, and d. The client will need to take thyroid hormone replacement (levothyroxine) for the rest of her life since she had a total thyroidectomy. The dosage will need to be carefully monitored to ensure that it is correct, and laboratory tests will need to be done frequently to monitor thyroid hormone levels. Taking too much of the drug can cause hyperthyroidism symptoms, so it is important not to take more than prescribed. It is also important to check with a healthcare provider before taking any other medications or herbs, as they can interact with levothyroxine.

Answer b is incorrect because the client will need to take the drug for the rest of her life.

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Which action by the patient who is self-monitoring blood glucose indicates a need for additional teaching?

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Naxlex Comprehensive Predictor Exams

A patient with diabetes is starting insulin therapy. Which type of insulin will the nurse discuss using for mealtime coverage.

Correct Answer is C

Explanation

A 40-year-old woman had a total thyroidectomy for hyperthyroidism after medical management was not successful. The nurse is preparing to teach the client about her thyroid hormone replacement (levothyroxine). Which health teaching will the nurse include about this drug? Select all that apply.

Correct Answer is ["A","C","D"]

Explanation

Which finding indicates to the nurse that the current therapies are eﬀective for patient with acute adrenal insufficiency (Addison's)?

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