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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The research participant must provide informed consent to enroll in a study, as it is their right to understand and agree to the terms of participation voluntarily.
B. The risk manager does not provide informed consent; their role is to assess and mitigate risks associated with the study.
C. The institutional review board (IRB) oversees the ethical aspects of the study but does not obtain informed consent from participants.
D. The chair of the ethics committee is involved in ethical considerations but does not directly obtain informed consent from participants in a research study.
Correct Answer is D
Explanation
A. Notifying the provider is essential, but the immediate priority is to assess the client's current condition to determine if there are any adverse effects from the additional dose.
B. Completing an incident report is necessary for documentation and accountability but should follow the immediate assessment of the client's condition.
C. Informing the nursing supervisor is important for communication and oversight, yet the nurse must first observe the client to evaluate any immediate effects of the medication error.
D. Observing the client's condition is the first action because it helps to identify any potential complications or adverse reactions resulting from the additional dose of medication.
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