A nurse is reinforcing teaching about performing a glucose test with an adolescent client who has diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?
"I will collect the first drop of blood by wiping it on the test strip."
"I will stick the side of my finger with the lancet instead of the center."
“I will hold the lancet at a 45-degree angle when piercing my skin."
“I will place my finger under cool water for a few seconds before the stick."
The Correct Answer is B
A. "I will collect the first drop of blood by wiping it on the test strip." The first drop of blood should be wiped away with a clean cotton ball or gauze. This is because the first drop can contain interstitial fluid that may dilute the sample and lead to an inaccurate reading.
B. "I will stick the side of my finger with the lancet instead of the center." Sticking the side of the fingertip is less painful and allows for better blood flow compared to the center of the fingertip, which is often more sensitive.
C. “I will hold the lancet at a 45-degree angle when piercing my skin.” The lancet should typically be held at a 90-degree angle (straight) when piercing the skin, not at a 45-degree angle. A correct angle ensures proper blood flow and reduces discomfort.
D. “I will place my finger under cool water for a few seconds before the stick.” Using cool water before testing can cause the blood vessels to constrict. Warm water is recommended before testing, as it helps increase blood flow and makes it easier to obtain a sample.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
A. Encourage the child to take responsibility for his actions: While ADHD affects attention and impulse control, it's crucial to teach children accountability for their behavior. This helps them develop self-awareness, learn from mistakes, and foster a sense of control over their actions
B. Maintain a consistent routine at home: Children with ADHD benefit from a structured and predictable environment. A consistent routine helps them feel secure, reduces anxiety, and supports better management of their symptoms, including focus and behavior.
C. Provide frequent breaks during homework: Frequent breaks during homework or tasks help children with ADHD stay focused and prevent frustration. This is an effective strategy to improve concentration and task completion.
D. Administer stimulant medication in the morning: Stimulant medications for ADHD, such as methylphenidate or amphetamines, are usually administered in the morning to help manage symptoms throughout the day. This helps avoid any interference with sleep at night.
E. Limit the child's involvement in physical activities: Physical activity can actually be beneficial for children with ADHD, as it helps them release excess energy and improve focus. Exercise can be a helpful outlet for managing symptoms.
Correct Answer is A
Explanation
A. Administer two puffs of albuterol: Albuterol is a bronchodilator used as a quick-relief (rescue) medication for asthma attacks. It helps to open the airways and alleviate difficulty breathing. The nurse should administer albuterol as directed to help relieve the child’s symptoms.
B. Instruct the child to perform controlled breathing exercises: While controlled breathing exercises can be helpful for managing asthma, they are not the first action during an acute asthma attack. The priority is to use a quick-relief medication like albuterol.
C. Place the child in the supine position: Placing the child in the supine (lying flat) position could worsen breathing difficulty. The child should be placed in an upright position to help facilitate better airflow and reduce breathing distress during an asthma attack.
D. Encourage the use of a flutter mucus clearance device: A flutter mucus clearance device is used to help clear mucus in the lungs, but it is not appropriate for managing acute asthma symptoms. The priority is to administer a bronchodilator to relieve airway constriction.
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