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 D

Explanation

A. A needle biopsy of the thyroid is typically done under local anesthesia, not general anesthesia. The client would be awake during the procedure, although they may be given a sedative to help them relax.
B. A needle biopsy is used to obtain a sample of tissue for testing, not to remove the cancer. The procedure helps diagnose the presence of cancer, but further treatment like surgery would be necessary to remove any cancer.
C. While a needle biopsy can confirm the presence of cancer, it does not provide information about the stage of cancer. Additional imaging and tests would be required to determine the stage.
D. Although the procedure typically involves inserting a needle through the skin (often without making a large incision), the biopsy involves removing a small sample of tissue for examination. This is the correct understanding of a needle biopsy.

A. This type of diabetes is caused by a decrease in endogenous insulin and/or increased insulin resistance. B. This type of diabetes can be medication-induced or related to a medical condition such as pancreatic function or hormonal abnormalities. C. Gestational diabetes is caused by the presence of antibodies to insulin so exogenous insulin is needed. D. Gestational diabetes is a type of diabetes where glucose intolerance is often transitory.

Correct Answer is D

Explanation

A. Gestational diabetes (GDM) is indeed characterized by insulin resistance, which often worsens as the pregnancy progresses. However, the problem is not always a decrease in endogenous insulin but more of a relative insulin resistance in response to the hormones produced during pregnancy.
B. This description is more fitting for other types of diabetes, such as type 2 diabetes, where certain medications or conditions (like pancreatic disease or hormonal issues) can affect insulin production or action. Gestational diabetes is not typically caused by these factors.
C. Gestational diabetes is not caused by antibodies to insulin. It is a form of diabetes that develops during pregnancy due to hormonal changes that lead to insulin resistance. Some women may need insulin therapy to manage it, but this is not due to antibodies to insulin.
D. Gestational diabetes is a type of diabetes where glucose intolerance is often transitory. Gestational diabetes typically develops during pregnancy and often resolves after childbirth. However, women who have had gestational diabetes are at an increased risk of developing type 2 diabetes later in life, even though the condition may resolve postpartum.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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