The nurse is educating a newly diagnosed diabetic client about how to measure blood glucose with a glucometer at home. Which statement, made by the client, indicates teaching was effective?
"I will use the first drop of blood for my sample"
"I will poke in the center of the pad of my finger to obtain a sample for testing"
"I will apply a cold compress on my fingers if I cannot collect any blood"
"I will make sure I have clean hands prior to testing"
The Correct Answer is D
A. It is generally recommended to discard the first drop of blood when testing with a glucometer because it may be diluted with tissue fluid, leading to inaccurate results. The second drop should be used for the sample.
B. The center of the fingertip should be avoided for testing because it contains more nerve endings and can be more painful. It is better to poke the sides of the fingertip for a less painful experience.
C. A cold compress may cause blood vessels to constrict, making it even harder to obtain a blood sample. Gentle massaging of the finger or warming the hands may help with blood flow.
D. It is important to wash hands before testing to ensure that the blood sample is not contaminated with food residues, dirt, or other substances that could affect the accuracy of the glucose reading.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. It is generally recommended to discard the first drop of blood when testing with a glucometer because it may be diluted with tissue fluid, leading to inaccurate results. The second drop should be used for the sample.
B. The center of the fingertip should be avoided for testing because it contains more nerve endings and can be more painful. It is better to poke the sides of the fingertip for a less painful experience.
C. A cold compress may cause blood vessels to constrict, making it even harder to obtain a blood sample. Gentle massaging of the finger or warming the hands may help with blood flow.
D. It is important to wash hands before testing to ensure that the blood sample is not contaminated with food residues, dirt, or other substances that could affect the accuracy of the glucose reading.
Correct Answer is D
Explanation
A. Gestational diabetes occurs during pregnancy and typically resolves after delivery. It does not typically lead to diabetic ketoacidosis (DKA), though women with gestational diabetes are at higher risk for developing type 2 diabetes later in life.
B. Secondary diabetes results from another condition (such as a hormonal disorder or medication use) and is less commonly associated with DKA.
C. While DKA can occur in type 2 diabetes, it is much more common in type 1 diabetes, especially in cases of severe insulin deficiency or missed insulin doses.
D. Diabetic ketoacidosis (DKA) is most commonly associated with type 1 diabetes mellitus. It occurs due to a severe lack of insulin, which leads to hyperglycemia, dehydration, and the production of ketones. DKA is a life-threatening complication often seen in newly diagnosed individuals or those with poor diabetes management.
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