Blood Glucose Monitoring
Blood glucose meter results in the United States are reported using this unit.
What is mg/dL?
This standardized tool assesses pressure-injury risk using sensory perception, moisture, activity, mobility, nutrition, and friction or shear.
What is the Braden Scale?
A clean surgical incision whose edges are closed with sutures, staples, or adhesive heals by this type of intention.
This rigid, curved suction device is commonly used to remove secretions from the mouth and oropharynx.
What is a Yankauer suction catheter?
According to the CDC, a blood glucose level below this number is considered hypoglycemia.
What is 70 mg/dL?
Before obtaining a finger-stick sample, the patient’s hands should be washed and placed in this condition.
What is completely dry?
Intact skin with localized, nonblanchable redness is classified as this pressure-injury stage.
What is Stage 1?
During this type of healing, the wound edges are well approximated and tissue loss is minimal.
What is primary intention?
A conscious patient should generally be placed in this position for oropharyngeal suctioning.
What is semi-Fowler’s or high-Fowler’s position?
An alert patient who can swallow should initially receive this amount of fast-acting carbohydrate.
What is 15 grams?
To obtain an adequate blood sample, the nurse can gently apply pressure beginning at this part of the finger.
What is the base of the finger, moving toward the fingertip?
Full-thickness skin loss with visible adipose tissue, but no exposed fascia, muscle, tendon, cartilage, or bone, is classified as this stage.
What is Stage 3?
A wound left open because its edges cannot be approximated heals through granulation, contraction, and epithelialization.
What is secondary intention?
To reduce mucosal trauma, suction should not be applied during this part of catheter use.
What is insertion?
After giving 15 grams of carbohydrate, the nurse waits this long before rechecking the blood glucose.
What is 15 minutes?
Immediately after use, the lancet must be discarded in this container.
What is an approved sharps container?
Partial-thickness skin loss with exposed dermis or an intact or ruptured serum-filled blister is classified as this stage.
What is Stage 2?
A large pressure injury or open wound with significant tissue loss commonly heals by this type of intention.
What is secondary intention?
Each suction pass should generally be limited to no longer than this amount of time.
What is 10–15 seconds?
Four ounces of fruit juice, 3–4 glucose tablets, or one tube of glucose gel are examples of this treatment.
What is 15 grams of fast-acting carbohydrate?
The CDC states that this piece of finger-stick equipment must never be used more than once or for more than one patient.
What is the finger-stick or lancing device?
The wound has full-thickness skin and tissue loss, but slough or eschar prevents the nurse from seeing the depth of tissue damage.
What is an unstageable pressure injury?
Compared with primary-intention healing, secondary-intention healing generally takes longer and produces more of this tissue.
What is scar tissue?
A decreasing oxygen saturation, bradycardia, cyanosis, or acute distress requires the nurse to take this immediate action.
What is stop suctioning, oxygenate the patient, and reassess?
A patient with severe hypoglycemia is unconscious and cannot swallow. State the nurse’s priority response.
What is give nothing by mouth, call for emergency assistance, and administer glucagon or IV dextrose according to the prescribed hypoglycemia protocol?