The nurse is evaluating the teaching of self-monitoring of blood glucose levels in a newly diagnosed Type 2 diabetic client. The nurse identifies a need for additional teaching when the client:

Warms the hands with water prior to the procedure.

Alternates fingers used in a systematic manner.

Chooses the center of the finger pad as a puncture site.

Verbalizes that a random result of 115 mg/dL indicates good glucose control.

Answer and Explanation

The Correct Answer is D

Choice a reason:
Warming the hands with water before testing is actually a recommended practice. It helps increase blood flow to the fingertips, making it easier to get a sufficient blood sample for testing. Cold hands can restrict blood flow, leading to difficulty in obtaining a blood sample and potentially inaccurate results.

Choice b reason:
Alternating fingers for blood glucose testing is also a recommended practice. It helps prevent soreness and calluses on the fingers from repeated pricks. Using different fingers or different sides of the same finger can help reduce pain and potential damage to the skin.

Choice c reason:
Choosing the center of the finger pad as a puncture site is not recommended. The sides of the fingertips are preferred because they have fewer nerve endings, making the process less painful. The center of the finger pad has a denser nerve supply and can lead to more discomfort during the test.

Choice d reason:
A random blood glucose result of 115 mg/dL is slightly above the normal range for non-diabetics, which is typically between 70 to 99 mg/dL when fasting. For someone with diabetes, this result might be considered within a target range, depending on individual treatment goals set by healthcare providers. However, it's important to note that a single glucose reading does not provide a complete picture of glucose control. An A1C test, which reflects average blood glucose levels over the past 2-3 months, is also necessary to assess overall glucose management.

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Correct Answer is B

Explanation

Choice A Reason
Bradycardia, which is a slower than normal heart rate, is not typically a sign of hypoglycemia. Hypoglycemia can actually cause an increase in heart rate due to the release of adrenaline in response to low blood sugar levels.

Choice B Reason
Tremors are a common sign of hypoglycemia and are caused by the release of adrenaline. When blood sugar levels fall too low, the body releases adrenaline as a part of the "fight or flight" response, which can lead to shaking or trembling.

Choice C Reason
Kussmaul's respirations, which are deep and labored breathing patterns, are more commonly associated with diabetic ketoacidosis, not hypoglycemia. This type of breathing is the body's response to acidosis and is not indicative of low blood sugar levels.

Choice D Reason
Polyuria, or excessive urination, is not a sign of hypoglycemia. It is more commonly associated with hyperglycemia, as the body attempts to eliminate excess glucose through urine.

A. A history of allergy to iodine. B. Serum potassium level of 4.0 mEq/L. C. Blood pressure reading of 138/90 mmHg. D. An EKG that shows atrial fibrillation.

Correct Answer is A

Explanation

Choice a reason:

A history of allergy to iodine is a critical finding to report before a coronary angiography because the contrast dye used in the procedure typically contains iodine. Patients with an iodine allergy may experience severe reactions, including anaphylaxis, which can be life-threatening. Precautions such as premedication with steroids and antihistamines or the use of alternative contrast agents may be necessary.

Choice b reason:

A serum potassium level of 4.0 mEq/L is within the normal range, which is approximately 3.5 to 5.2 mEq/L for adults. Therefore, this finding is not significant and does not need to be reported to the healthcare provider prior to the procedure.

Choice c reason:

A blood pressure reading of 138/90 mmHg is slightly elevated but does not reach the threshold for stage 1 hypertension, which starts at 140/90 mmHg for individuals under 60 years of age. While it should be monitored, it is not an urgent concern that needs to be reported immediately before a coronary angiography unless the patient shows symptoms of hypertensive crisis.

Choice d reason:

An EKG showing atrial fibrillation is an important finding; however, it is not typically a contraindication for coronary angiography unless the patient is hemodynamically unstable or symptomatic. Atrial fibrillation can increase the risk of stroke, but anticoagulation management is usually the focus rather than postponing necessary diagnostic procedures.

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The nurse is evaluating the teaching of self-monitoring of blood glucose levels in a newly diagnosed Type 2 diabetic client. The nurse identifies a need for additional teaching when the client:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A common sign of hypoglycemia in a client diagnosed with diabetes is:

Correct Answer is B

Explanation

A client is scheduled for a coronary angiography. In reviewing the client's record, what significant finding should the nurse report to the healthcare provider prior to this procedure?

Correct Answer is A

Explanation

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