A nurse is caring for a client who has a new diagnosis of insulin-dependent diabetes mellitus. The client states, “I am concerned about being able to monitor my blood glucose regularly due to my busy schedule.” Which of the following responses should the nurse make?

“You should be fine as long as you check your blood glucose before eating.”

“We can discuss several scheduling options for monitoring your blood glucose.”

“You should reorganize your schedule around your blood glucose monitoring.”

“Your provider will set up a schedule for when you should monitor your blood glucose.”

Answer and Explanation

The Correct Answer is B

The correct answer is b. “We can discuss several scheduling options for monitoring your blood glucose.”

Choice A Reason

“You should be fine as long as you check your blood glucose before eating.” This response is not ideal because it oversimplifies the complexity of managing insulin-dependent diabetes. Blood glucose monitoring should be done at various times throughout the day, including before meals, after meals, and possibly before bedtime, to ensure proper management and avoid complications. Limiting checks to just before meals may not provide a comprehensive picture of the client’s glucose levels.

Choice B Reason

“We can discuss several scheduling options for monitoring your blood glucose.” This response is the most appropriate as it acknowledges the client’s concern and offers a collaborative approach to finding a solution. It allows the nurse to tailor the blood glucose monitoring schedule to fit the client’s busy lifestyle, ensuring better adherence and management of diabetes. This approach also empowers the client by involving them in their care plan.

Choice C Reason

“You should reorganize your schedule around your blood glucose monitoring.” While it is important for the client to prioritize their health, this response may come across as dismissive of the client’s busy schedule. It does not offer practical solutions or flexibility, which are crucial for long-term adherence to diabetes management. A more supportive and collaborative approach would be more effective.

Choice D Reason

“Your provider will set up a schedule for when you should monitor your blood glucose.” This response places the responsibility solely on the healthcare provider and does not address the client’s immediate concern about fitting blood glucose monitoring into their busy schedule. While the provider’s input is important, the nurse should also offer immediate support and practical solutions. Collaborative planning is key to effective diabetes management.

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Correct Answer is D

Explanation

Choice A Reason: Constricted Pupils

Constricted pupils, also known as miosis, are typically associated with opioid use or exposure to certain toxins. While opioids are sometimes used to manage chronic pain, constricted pupils are not a direct result of chronic pain itself. Therefore, this option is not the correct answer.

Choice B Reason: Bradycardia

Bradycardia, or a slower than normal heart rate, is not commonly associated with chronic pain. Chronic pain can lead to various physiological responses, but a significant reduction in heart rate is not typically one of them. This makes bradycardia an unlikely choice.

Choice C Reason: Diaphoresis

Diaphoresis, or excessive sweating, is more commonly associated with acute pain or stress responses rather than chronic pain. Chronic pain tends to have more long-term psychological and physiological effects rather than immediate autonomic responses like sweating. Hence, this is not the correct answer.

Choice D Reason: Depression

Depression is a well-documented consequence of chronic pain. Chronic pain can significantly impact a person’s quality of life, leading to feelings of hopelessness, sadness, and a lack of interest in daily activities. The persistent nature of chronic pain often results in psychological distress, making depression a common finding in individuals suffering from chronic pain.

A. Refrigerates the solution before irrigation B. Administers an analgesic medication 5 minutes before starting irrigation C. Uses one pair of gloves for dressing removal and irrigation D. Uses a syringe with a catheter for wound irrigation

Correct Answer is B

Explanation

Choice A Reason:

Refrigerating the solution before irrigation is not recommended. The solution should be at room temperature to avoid causing discomfort or vasoconstriction, which can impede the healing process.

Choice B Reason:

Administering an analgesic medication 5 minutes before starting irrigation is correct. This action helps manage the client’s pain during the procedure, ensuring comfort and compliance.

Choice C Reason:

Using one pair of gloves for both dressing removal and irrigation is incorrect. The nurse should use separate pairs of gloves to prevent cross-contamination and maintain aseptic technique.

Choice D Reason:

Using a syringe with a catheter for wound irrigation is correct practice. This method allows for controlled and directed irrigation, ensuring the wound is properly cleaned.

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A nurse is caring for a client who has a new diagnosis of insulin-dependent diabetes mellitus. The client states, “I am concerned about being able to monitor my blood glucose regularly due to my busy schedule.” Which of the following responses should the nurse make?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has chronic pain. The nurse should identify which of the following findings is associated with chronic pain?

Correct Answer is D

Explanation

A charge nurse is observing a staff nurse performing wound irrigation for a client who has a pressure injury. Which of the following actions by the staff nurse indicates an understanding of the procedure?

Correct Answer is B

Explanation

A nurse is caring for a client who has a new diagnosis of insulin-dependent diabetes mellitus. The client states, “I am concerned about being able to monitor my blood glucose regularly due to my busy schedule.” Which of the following responses should the nurse make?

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