Reference no: EM133803299

Question

Emma Arthur is a client on the nurse's home health assignment. When the nurse reaches her home the neighbor, Betty Peterson, is trying to help Mrs. Arthur with her blood glucose testing. Mrs. Arthur has a number of chronic illnesses. Her current medications include glyburide/metformin (Glucovance) 5/500 mg 2 tabs BID, pioglitazone 45 mg every morning, simvastatin 20 mg QHS, and losartan/HCTZ (Hyzaar) 100/25 mg daily. Looking at the electronic record, the nurse notes that her hospital blood glucose readings were 250 to 350 mg/dL 2 hours after meals and 130 to 160 mg/dL fasting. The nurse has determined diabetic management to be an overwhelming task for Mrs. Arthur, yet Betty tells the nurse she is willing to help out. Looking at the situation, the nurse determines that she will start with reviewing home blood glucose monitoring. A positive experience is important; therefore, the nurse asks them to teach back the set up and perform this skill. What steps are critical in this process for the women to know?