BSN 225 - Sherpath - Performing Blood Glucose Testing

The nurse has selected a finger as the puncture site to measure the blood glucose level of a female patient with type 2 diabetes mellitus and peripheral vascular disease (PVD). Although all of the actions listed below are appropriate, which one would be of particular benefit to this patient given her medical history?

A. Reviewing her current medications

B. Inspecting the selected finger for bruising

C. Following standard precautions

D. Keeping the finger in a dependent position during the puncture

D. Keeping the finger in a dependent position during the puncture

For which patient can the nurse delegate to nursing assistive personnel (NAP) the task of routine blood glucose monitoring?

A. Patient with non-insulin-dependent diabetes for whom steroid therapy has been ordered

B. Patient with type 2 diabetes who required insulin coverage at the last testing

C. Patient with type 1 diabetes who has had nausea and vomiting for 24 hours

D. Patient with type 2 diabetes who has had a closed reduction of a fracture of the right wrist

D. Patient with type 2 diabetes who has had a closed reduction of a fracture of the right wrist

For which situation would the procedure of glucose testing be interrupted?

A. The reagent strip code matches the code on the vial.

B. An unused lancet is not available.

C. The glucose meter beeps.

D. A drop of blood forms on the patient's skin after it is punctured.

B. An unused lancet is not available.

A patient with type 2 diabetes mellitus tells the nurse that he has been testing his own blood glucose level six times per day for the past 3 years. What is the most appropriate action for the nurse to take?

A. Observe the patient's testing technique for accuracy.

B. Advise the patient that he is not permitted to perform his own blood glucose testing.

C. Check with the patient's health care provider concerning the patient's self-testing.

D. Explain to the patient that a nurse must complete blood glucose testing.

A. Observe the patient's testing technique for accuracy.

Which action would the nurse carry out first when performing a blood glucose test on a patient with type 1 diabetes mellitus?

A. Apply clean gloves to minimize the risk for contamination.

B. Assess the patient's skin for possible puncture sites.

C. Ask the patient to wash his or her hands and forearms with warm, soapy water.

D. Determine the patient's preferred puncture site.

B. Assess the patient's skin for possible puncture sites.