The nurse has been teaching a patient with diabetes mellitus how to perform self-monitoring of blood glucose (SMBG). During evaluation of the patient's technique, the nurse identifies a need for additional teaching when the patient does what?

Warms the finger before puncturing the finger to obtain a drop of blood.

Chooses a puncture site in the center of the finger pad

Washes hands with soap and water to cleanse the site to be used,

Tells the nurse that the result of 110 mg/dl indicates good control of diabetes.

Answer and Explanation

The Correct Answer is B

A. Warming the finger before puncturing it can help increase blood flow and make the process easier. This is an appropriate technique for self-monitoring of blood glucose (SMBG).
B. The center of the finger pad is not the best site for blood glucose testing. The side of the fingertip should be used instead to avoid discomfort and to prevent injury to the nerve endings found in the center of the pad.
C. Washing hands with soap and water is the proper technique for cleansing the hands before performing SMBG to reduce the risk of contamination.
D. A blood glucose level of 110 mg/dL is within the normal range for a non-diabetic person, and could indicate good control for a diabetic. This would be considered an appropriate response, especially if the reading is taken before meals.

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Correct Answer is C

Explanation

A. While activity groups can help with cognitive function, it’s not accurate to state that skipping the activities will definitely lead to cognitive problems.
B. Excusing him from the activities without explaining their benefits would not provide the family with the necessary education about why they are important for his well-being.
C. Activity groups in long-term care facilities provide important social interaction, sensory stimulation, and reality orientation, which are beneficial for maintaining cognitive function and overall well-being in older adults.
D. The statement that groups are only for high-functioning clients is inaccurate. Activity groups are designed to benefit all levels of functioning, especially for promoting engagement and quality of life in elderly patients.

A. very Old B. Aged C. Older D. Elderly

Correct Answer is A

Explanation

A. Very old (sometimes referred to as the "oldest-old") typically includes individuals 85 years and older, according to classifications used by the U.S. Census Bureau and gerontological studies. A 92-year-old falls into this category.
B. Aged is a general term and not an official classification. It may be used broadly but doesn't specifically apply to the 85+ group.
C. Older is a nonspecific term often used to describe those over 65 but is not a distinct age category like “very old.”
D. Elderly is another broad, non-specific term and is often used interchangeably with “older adults,” but does not denote a specific age group such as the "very old" classification.

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The nurse has been teaching a patient with diabetes mellitus how to perform self-monitoring of blood glucose (SMBG). During evaluation of the patient's technique, the nurse identifies a need for additional teaching when the patient does what?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A family asks why their father is attending activity groups at the long-term care facility. The son states, "My father worked hard all of his life. He just needs some rest at this point." Which is the appropriate nursing response

Correct Answer is C

Explanation

A nurse reads in a client chart that the client is 92 years old. According to the US. Census Bureau, the nurse knows that the client is classified as what stage of older adulthood?

Correct Answer is A

Explanation

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