A nurse is reinforcing teaching with the parent of a child who has diabetes mellitus. The parent asks the nurse how to minimize the child's pain when monitoring blood glucose levels. Which of the following statements by the parent indicates an understanding of the teaching?
"My child should use their index finger to obtain blood samples."
"My child should hold their finger under warm water before obtaining a sample."
"My child should puncture the center of their finger pad when obtaining a sample."
"My child should hold their finger against a table when obtaining a sample."
The Correct Answer is B
Rationale:
A) Using the index finger is a common site for blood glucose monitoring, but it does not specifically address minimizing pain.
B) Holding the finger under warm water can increase blood flow and make blood glucose monitoring less painful.
C) Puncturing the center of the finger pad is a common technique for obtaining a blood sample, but it does not specifically address minimizing pain.
D) Holding the finger against a table is not a recommended method for minimizing pain during blood glucose monitoring and may increase discomfort.
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Related Questions
Correct Answer is D
Explanation
A. Allowing a toddler to button up their own shirt can be frustrating for them as they may not have developed the fine motor skills required for this task, leading to potential distress.
B. Asking toddlers questions that require a "yes" or "no" answer can limit their language development as it does not encourage them to use language expressively.
C. While providing opportunities to share toys with others is important for social development, it is not the most critical aspect of care in this context.
D. Ensuring the toddler has at least one nap during the day is crucial as toddlers need ample sleep for proper development and to prevent overtiredness, which can affect their mood and behavior.
Correct Answer is D
Explanation
Rationale:
A. Skin turgor assessment is important in assessing dehydration, but the priority is addressing the tachycardia first.
B. Potassium level is important in managing electrolyte imbalance in gastroenteritis, but the priority is addressing the elevated heart rate first.
C. Capillary refill is an important assessment for circulation, but the priority is addressing the elevated heart rate first.
D. The elevated heart rate (tachycardia) indicates increased workload on the heart, likely due to dehydration or other complications of gastroenteritis. This requires immediate attention to stabilize the infant's condition.
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