A nurse implemented a new method of teaching clients about self-administration of insulin six months ago. Which of the following findings indicates the new method is effective?
HDL levels decreased
Blood glucose levels increased
HbA1C numbers decreased
Incidents of lipohypertrophy increased
The Correct Answer is C
A. A decrease in HDL (high-density lipoprotein) levels would indicate a worsening lipid profile, which is not directly related to the effectiveness of insulin administration training.
B. An increase in blood glucose levels would indicate poor glycemic control, suggesting the teaching method was not effective in helping clients manage their insulin properly.
C. A decrease in HbA1C reflects better long-term blood glucose control, indicating that the new teaching method for insulin administration is effective. HbA1C levels provide a clearer picture of blood sugar management over time.
D. An increase in incidents of lipohypertrophy would suggest improper insulin injection technique, as this condition occurs when injections are repeatedly administered in the same spot. This would indicate ineffective teaching.
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Related Questions
Correct Answer is C
Explanation
A. A decrease in HDL (high-density lipoprotein) levels would indicate a worsening lipid profile, which is not directly related to the effectiveness of insulin administration training.
B. An increase in blood glucose levels would indicate poor glycemic control, suggesting the teaching method was not effective in helping clients manage their insulin properly.
C. A decrease in HbA1C reflects better long-term blood glucose control, indicating that the new teaching method for insulin administration is effective. HbA1C levels provide a clearer picture of blood sugar management over time.
D. An increase in incidents of lipohypertrophy would suggest improper insulin injection technique, as this condition occurs when injections are repeatedly administered in the same spot. This would indicate ineffective teaching.
Correct Answer is D
Explanation
A. Providing advice over the telephone requires clinical judgment and assessment, which are beyond the scope of practice for assistive personnel (AP). This task should not be delegated.
B. Inserting an NG tube is an invasive procedure that requires advanced training and skill, so it is not within the scope of the AP. This task must be performed by a nurse or another licensed provider.
C. Teaching a client how to walk on crutches involves instruction and monitoring, which requires the clinical judgment and teaching skills of a nurse or physical therapist, making it unsuitable for AP delegation.
D. Performing a simple dressing change is a routine and basic task that can be safely delegated to an AP, as long as the task does not require sterile technique or complex wound care.
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