Real Life PN Medical Surgical 3.0-Diabetes
mellitus
Have the client review the steps for self monitoring blood glucose (SMBG) - ANS Mr. Jones
states that sometimes he gets high readings that do not make sense and asks the nurse why
that would be. After acknowledging his concern, what is the appropriate response by Jenny?
Ask the client to remind her about his concern later, when they will have more time to talk
Ask the client to bring in his glucometer and the hospital will check it out and return it if defective
Have the client review the steps for self monitoring blood glucose (SMBG)
Tell the client that someone else will answer his technical questions
Wash hands
Obtain a blood specimen
Apply blood to test strip
View the glucometer readout
interpret the findings - ANS Jenny is reviewing the technique of self monitoring blood glucose
with Mr. Jones. Identify the sequence of actions Mr. Jones should take. (Reorder the steps by
dragging them into the desired sequence)
The accepted reference range for pre-meal glucose is 90 to 130 mg/dL
It is above the accepted reference range - ANS Jenny reviews Mr. Jones blood glucose result of
198. Which of the following is a correct understanding of this finding?
It is within the accepted reference range
It is below the accepted reference range
It is within the post-meal reference range
It is above the accepted reference range
Ask another nurse to verify the correct dosage of insulin for administration - ANS Jenny is
preparing the insulin dose for Mr. Jones. Which of the following actions should she take?
Ask another nurse to verify the correct dosage of insulin for administration
Ask another nurse to prepare the insulin and take it to the client's room for the PN to administer
Take the prepared insulin to the charge nurse and ask her to administer it
Prepare the insulin and verify the dosage to be administered
2 - ANS jenny is preparing to administer Mr. Jones' insulin. How many units should she
administer?
I'll be right there to check on him - ANS Mr. Jones wife calls the nurses' station, saying her
husband is "acting strangely" and requests that someone come to see him. Which of the
following is the appropriate respond by Nurse Jenny?
I'll send one of the assistive personnel to the room right away
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