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. Restricting fluid intake is not necessary for a patient with neutropenia. In fact, maintaining adequate hydration is essential, especially when managing the effects of chemotherapy.
B. Inserting an indwelling urinary catheter increases the risk of infection and should only be done when absolutely necessary, especially in patients with neutropenia who are at increased risk of infections.
C. Neutropenic patients have a decreased ability to fight infections, so it is crucial to restrict visitors who have communicable illnesses to prevent the patient from becoming infected.
D. Hand hygiene is essential, and gloves should not replace proper hand washing. The nurse should wash hands before and after patient contact to prevent infection, not simply wear gloves.

A. Avoidant personality disorder B. Antisocial personality disorder C. Schizoid personality disorder D. Dependent personality disorder

Correct Answer is D

Explanation

A. Avoidant personality disorder is characterized by extreme shyness, fear of rejection, and social inhibition—but not necessarily dependence on others for decision-making.
B. Antisocial personality disorder involves a disregard for the rights of others, impulsivity, and lack of remorse. It is not associated with dependence or the need for reassurance.
C. Schizoid personality disorder is marked by emotional detachment and a preference for solitary activities, rather than seeking reassurance or needing help with decisions.
D. Dependent personality disorder is characterized by a pervasive and excessive need to be taken care of, leading to submissive and clinging behavior, and difficulty making everyday decisions without reassurance from others. These features match the client’s behavior.

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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

The nurse is caring for a patient with leukemia who is experiencing neutropenia as a result of chemotherapy. Which action should the nurse include in the plan of care for this patient?

Correct Answer is C

Explanation

A nurse is caring for a client who is unable to make any decisions for themself and needs constant reassurance. The nurse should identify that these are manifestations of which of the following personality disorders?

Correct Answer is D

Explanation

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