The nurse instructs a patient with type 2 diabetes mellitus on the use of a glucometer for self-monitoring. Which patient statements about glucometer performance indicate that teaching has been effective?
Select all that apply.
1. Correctly apply the blood to the meter strip.
2. Follow manufacturer's recommendation regarding cleaning of meter.
3. A patient with sickle cell anemia may need another way to check blood glucose levels.
4. Grapefruit juice should not be ingested when using the glucometer.
5. A sufficient amount of blood must be applied to the strip.
Correct Answer: 1, 2, 3, 5
Many factors may affect glucose meter performance, including correctly applying blood to the meter strip, following the manufacturer's recommendations regarding meter cleaning, a diagnosis of anemia or sickle cell anemia, and insufficient amounts of blood on the meter strip. The ingestion of grapefruit juice is not a known cause of poor meter performance.
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A nurse obtains the health history of a client who is recently diagnosed with lung cancer and identifies that the client has a 60-pack-year smoking history. Which action is most important for the nurse to take when interviewing this client?
a. Tell the client that he needs to quit smoking to stop further cancer development. b. Encourage the client to be completely honest about both tobacco and marijuana use. c. Maintain a nonjudgmental attitude to avoid causing the client to feel guilty. d. Avoid giving the client false hope regarding cancer treatment and prognosis.
The nurse recognizes that the patient understands the primary treatment for type 2 diabetes when the patient states:
A) "A pancreas transplant will provide a cure for my diabetes." B) "I will take my oral antidiabetic agents when my morning blood sugar is high." C) "I will follow the weight loss plan designed by the dietitian." D) "I will make sure I call the diabetic nurse educator when I have questions about my insulin."
The nurse describes a patient as "morbidly obese" because, with a weight of 387 pounds and a height of 2 meters, the patient's body mass index (BMI) is:
1. 218.7. 2. 130. 3. 92.6. 4. 87.5.
Which of the following might hinder nursing empowerment?
a. Taking action to address system issues b. Eliminating divergent and conflicting views c. Collaborating and sharing in decision making d. Participating in forming institutional policies