Monitoring and Documentation Flashcards

A resident's blood glucose reading is 58 mg/dL before breakfast. What is the FIRST action the QMA should take?

Answer: Notify the nurse and withhold the insulin dose

A blood glucose of 58 mg/dL is hypoglycemic; the QMA must notify the nurse immediately and withhold insulin until a nurse evaluates the resident.

Which of the following is the correct order for documenting insulin administration?

Answer: Document immediately after administration

Documentation should occur immediately after administration to ensure accuracy and prevent double-dosing.

A resident who takes insulin complains of feeling shaky and sweaty 30 minutes after the morning dose. The QMA should FIRST:

Answer: Check the resident's blood glucose level

Shakiness and sweating are signs of hypoglycemia; the QMA should check blood glucose first to confirm before any intervention.

When documenting a blood glucose reading, which information is LEAST critical to record?

Answer: The resident's favorite meal

The resident's food preferences are not relevant clinical data for blood glucose documentation.

A QMA notices a resident's blood glucose logs show consistently high readings (>250 mg/dL) for three days. What is the appropriate action?

Answer: Report the trend to the nurse

Persistent hyperglycemia is a clinical trend that must be reported to the nurse for evaluation and possible medication adjustment.

Which blood glucose range is generally considered the target fasting range for most diabetic residents in a long-term care setting?

Answer: 80–130 mg/dL

A fasting blood glucose of 80–130 mg/dL is typically the target range for diabetic patients, though individual care plans may vary.

When using a glucometer, the QMA should verify the device is working correctly by:

Answer: Running a quality control solution check as per facility policy

Quality control checks with control solution verify glucometer accuracy and are required per facility policy and manufacturer guidelines.