Question

The nurse has been teaching a patient with diabetes mellitus how to perform self-monitoring of blood glucose (SMBG). During evaluation of the patient's technique, the nurse identifies a need for additional teaching when the patient does which of the following?

1) Chooses a puncture site in the center of the finger pad
2) Washes hands with soap and water to cleanse the site to be used
3) Warms the finger before puncturing the finger to obtain a drop of blood
4) Tells the nurse that the result of 120 mg/dl indicates good control of diabetes

Answer 1

The nurse identifies a need for additional teaching when the patient chooses a puncture site in the center of the finger pad.

Step-by-step explanation:

The nurse identifies a need for additional teaching when the patient chooses a puncture site in the center of the finger pad. When performing self-monitoring of blood glucose (SMBG), it is recommended to choose a puncture site on the side of the finger, rather than the center of the finger pad, to avoid stimulating the receptors responsible for pain sensation. This helps to minimize discomfort during the blood glucose testing process. The nurse can explain and demonstrate the proper technique to the patient to ensure accurate and comfortable SMBG.