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"

Answer and Explanation

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.

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Correct Answer is ["15"]

Explanation

The desired insulin infusion rate is 15 units per hour.
The concentration of the insulin solution is 100 units in 100 mL.
This means there is 1 unit of insulin in every 1 mL of the solution (100 units ÷ 100 mL = 1 unit/mL).
To find the milliliters per hour to administer, we need to deliver 15 units per hour, and since there is 1 unit per mL, the flow rate will be: 15 units/hr ÷ 1 unit/mL = 15 mL/hr

A. magnesium hydroxide (Milk of Magnesia) B. amitriptyline (Elavil) C. acetaminophen (Tylenol) D. gabapentin (Neurontin)

Correct Answer is A

Explanation

A. Magnesium hydroxide can interfere with the absorption of levothyroxine (Synthroid) and reduce its effectiveness. The nurse should notify the healthcare provider if the client is taking magnesium hydroxide or any other antacid that contains magnesium, calcium, or aluminum because these can decrease the absorption of levothyroxine.
B. While amitriptyline (an antidepressant) may interact with other medications, it does not typically interfere with levothyroxine. However, the nurse should always be cautious about potential interactions, especially with medications that affect the central nervous system.
C. Acetaminophen (Tylenol) does not typically interact with levothyroxine. It is safe to take acetaminophen while on levothyroxine.
D. Gabapentin (Neurontin) does not generally interfere with levothyroxine absorption or action. However, as with any medication, the nurse should be aware of other potential interactions based on the client’s overall health.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["15"]

Explanation

The nurse is reviewing the medication list with a client with hypothyroidism who is prescribed levothyroxine (Synthroid). The nurse should notify the health care provider if the client reported taking which of the following medications?

Correct Answer is A

Explanation

The nurse is teaching a client with hypothyroidism the importance of increasing fluids. The nurse should explain that increasing fluids is important to prevent which of the following problems?

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The nurse has taught a client about a needle biopsy procedure, of the thyroid gland, to diagnose thyroid cancer. Which of the following statements by the client would indicate the teaching was successful?

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