Which of the following blood glucose monitors will need to have a quality control measurement daily?
All blood glucose monitors in use
Blood glucose monitors in use from the new office only
Blood glucose monitors in use from the old medical office only
None of the blood glucose monitors
The Correct Answer is A
Choice A reason:
Quality control measurements are essential for ensuring the accuracy and reliability of blood glucose monitors. According to best practices, all blood glucose monitors in use, regardless of their origin, should undergo daily quality control checks. This is to verify that the monitors are functioning correctly and providing accurate readings, which is crucial for patient care and treatment decisions.
Choice B reason:
Focusing only on the blood glucose monitors from the new office for daily quality control measurements is not sufficient. While new equipment may be less likely to have wear-and-tear issues that could affect performance, it is still subject to potential inaccuracies and must be included in the daily quality control routine.
Choice C reason:
Similarly, excluding the new monitors and only checking those from the old medical office would neglect the possibility of inaccuracies in the newer equipment. All monitors, irrespective of their age, can experience calibration drift or other issues that affect their performance.
Choice D reason:
Opting not to perform daily quality control measurements on any of the blood glucose monitors would be against the recommended guidelines and could lead to inaccurate blood glucose readings. This could have serious implications for patient health, particularly in the management of diabetes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
The left antecubital area is the correct site to perform venipuncture on a patient who has had a right-sided mastectomy. It is recommended to avoid the side of the mastectomy due to the risk of lymphedema and other complications associated with the removal of lymph nodes during the surgery. The left antecubital fossa, which is the area in front of the elbow, is a common site for venipuncture and is generally safe for use when the right side cannot be used.
Choice B reason:
The right cephalic vein should be avoided in a patient with a right-sided mastectomy. Venipuncture on the same side as the mastectomy can increase the risk of complications, including lymphedema, which is a condition characterized by swelling due to lymph fluid accumulation. Therefore, the right cephalic vein is not an appropriate choice.
Choice C reason:
The left femoral artery is not a venipuncture site; it is an arterial site. Venipuncture refers to accessing a vein, not an artery, for blood collection. Additionally, arterial puncture is a more invasive procedure typically reserved for arterial blood gas analysis and is not performed for routine venipuncture.
Choice D reason:
Similar to choice B, the right basilic vein should be avoided for venipuncture in a patient who has had a right-sided mastectomy. The basilic vein is located on the inner side of the arm and using it could pose the same risks as using the right cephalic vein, including the potential for lymphedema.
Correct Answer is D
Explanation
Choice A Reason:
The right antecubital fossa is not the optimal site for blood collection in this case because the presence of a shunt in the right forearm can complicate the procedure and potentially damage the shunt, which is a critical access point for dialysis treatments.
Choice B Reason:
The right hand should also be avoided for blood collection due to the shunt placement in the right forearm. Using the same arm as the shunt for venipuncture could lead to complications such as infection, clotting, or accidental damage to the shunt.
Choice C Reason:
The left antecubital fossa might seem like a viable option; however, with an IV placed in the left hand, it is generally recommended to avoid using the same limb for blood collection to prevent contamination of the sample and reduce the risk of infection at the IV site.
Choice D Reason:
Capillary collection from the left hand is the most appropriate choice in this scenario. It avoids the arm with the shunt and the IV, reducing the risk of complications. Capillary blood collection is a suitable alternative when venipuncture sites are limited, and it can provide an adequate sample for a CBC.
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