Answer to Question 1
Correct Answer: 3
Rationale 1: Because your doctor ordered it is not a good enough reason.
Rationale 2: The nurse should never tell a client what he or she would do; that is only an opinion.
Rationale 3: Blood glucose monitoring improves diabetes management. By testing one's blood, one can change the insulin regimen to maintain a normal glycemic range.
Rationale 4: Eating anything the client wants would give rise to too many episodes of hyperglycemia and make the diabetes harder to control.
Answer to Question 2
Correct Answer: 1
Rationale 1: The specific blood test to detect and guide treatment for heart failure is the BNP test. B-type natriuretic peptide is secreted primarily by the left ventricle in response to increased ventricular volume and pressure.
Rationale 2: A CBC is a complete blood count which includes hemoglobin and hematocrit measurements, erythrocyte (red blood cells) count, leukocyte (white blood cell) count, red blood cell indices, and a differential white cell count.
Rationale 3: This test measures the amount of the enzyme lactic dehydrogenase in the body.
Rationale 4: This is a test to assess for phenylketonuria in the newborn.