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

Answer and Explanation

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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Correct Answer is A

Explanation

A. Meeting with the nursing staff to review the policy regarding advance directives addresses the systemic issue of documentation. This action helps to ensure that all staff are aware of the importance of advance directives and the necessity for proper documentation moving forward.

B. Reinforcing potential consequences is important but may not directly resolve the immediate lack of documentation in the records. Education without action does not change current practice.

C. Asking nurses to obtain the information is a necessary step, but it is essential first to address the overall understanding and policy compliance with the entire nursing staff.

D. Reminding nurses to obtain this information during the admission process is a good practice, but it does not address the current records that are lacking documentation.

A. Assesses the client's gag reflex following an esophagogastroduodenoscopy B. Maintains the chest tube collection device below the level of the insertion site when ambulating the client C. Elevates the head of the client's bed to 30° before inserting a nasogastric tube D. Assists the client into a fetal position on his side in preparation for a lumbar puncture

Correct Answer is C

Explanation

A. Assessing the gag reflex after an esophagogastroduodenoscopy is appropriate because it ensures the client has recovered from anesthesia, reducing the risk of aspiration.

B. Keeping the chest tube collection device below the insertion site is proper technique, as it promotes drainage and prevents backflow into the chest cavity.

C. Elevating the head of the bed to 30° for nasogastric tube insertion is incorrect. The head of the bed should be elevated to 45-90° to facilitate easier insertion and reduce the risk of aspiration.

D. Assisting the client into the fetal position is the correct position for a lumbar puncture because it helps open the spaces between vertebrae, allowing easier needle insertion.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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