A nurse teaches a client about self-monitoring of blood glucose ...

[ARLKQ]

A nurse teaches a client about self-monitoring of blood glucose levels. Which statement should the nurse include in this client's teaching to prevent bloodborne infections?
 
  a. Wash your hands after completing each test.
  b. Do not share your monitoring equipment.
  c. Blot excess blood from the strip with a cotton ball.
  d. Use gloves when monitoring your blood glucose.

Question 2

A nurse cares for a client who is prescribed pioglitazone (Actos). After 6 months of therapy, the client reports that his urine has become darker since starting the medication. Which action should the nurse take?
 
  a. Assess for pain or burning with urination.
  b. Review the client's liver function study results.
  c. Instruct the client to increase water intake.
  d. Test a sample of urine for occult blood.

[qytan]

Answer to Question 1

ANS: B
Small particles of blood can adhere to the monitoring device, and infection can be transported from one user to another. Hepatitis B in particular can survive in a dried state for about a week. The client should be taught to avoid sharing any equipment, including the lancet holder. The client should be taught to wash his or her hands before testing. The client would not need to blot excess blood away from the strip or wear gloves.

Answer to Question 2

ANS: B
Thiazolidinediones (including pioglitazone) can affect liver function; liver function should be assessed at the start of therapy and at regular intervals while the client continues to take these drugs. Dark urine is one indicator of liver impairment because bilirubin is increased in the blood and is excreted in the urine. The nurse should check the client's most recent liver function studies. The nurse does not need to assess for pain or burning with urination and does not need to check the urine for occult blood. The client does not need to be told to increase water intake.

[ARLKQ]

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