|
|
|
|
|
|
|
|
|
|
1.
Glucose test strips are affected by humidity; the dessicant
in lid prevents strips from becoming defective due to
exposure to humidity. It is unacceptable to leave
vials uncapped or to leave unused test strips out of their
protective, properly capped vial; improperly stored test
strips may result in falsely elevated glucose results.
An
indication that test strips have been damaged (i.e. by
humidity) would be reflected in the control results: Level 1
would be out of range while
Level 2 would be within range.
True
False
 
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2.
Use of the Accuchek Inform is limited to screening and
monitoring purposes; therefore, a diagnosis of diabetes
cannot be made just based on an elevated test result.
True
False
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
3.
Glucose
control solutions are only good for _______ after opening.
The new expiration date for a brand new control set opened
on 1/1/07 whose manufacturer expiration date is 3/28/07 is ___________, and should be written on both
vials to prevent their use beyond expiration.
6 months; 7/1/06
3
months; 4/1/07
3 months;
3/28/07
9 months;
10/1/07
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
4. Prior to
performing a finger stick, the patient must wash their hands
if possible. Then the operator must wipe the fingertip
with alcohol and allow to air dry. Failure to thoroughly
clean the fingertip and eliminate any sugary food remnants
(for example, after the patient has eaten breakfast) may
lead to these substances being measured as part of the
patient's blood sugar or a falsely elevated glucose result.
True
False
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
5.
Maintenance of the Accuchek Inform requires wiping of meter
surfaces using a cloth dampened with _____. Whichever
agent is used, one
should never spray meter directly, or submerse it in
solution.
Also, the meter must never be exposed to high
temperatures (i.e. isolettes) for longer than _____.
10% bleach
or 70 % isopropyl alcohol BUT NOT Cavicide
because it damages the meter's screen. 10 seconds
Cavicide or 10% bleach BUT NOT
70% isopropyl
alcohol
because it damages the meter's screen. 10 seconds
Cavicide or 70% isopropyl
alcohol
BUT NOT 10% bleach because it
damages the meter's screen. 10 seconds
I give
up...way too confusing, we use Cavicide anyways !!!
10 seconds !!
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
6.
Identify the properly dosed test strip by clicking on
Test strips 1, 2, 3, and 4 below. For improperly dosed
test strips, reapplication of
sample is acceptable as long as it is done within _______
seconds.
Note:
To view test strip image must click on individual blue link
below.
test strip 1; 15
seconds
test strip 2; 15 seconds
test strip 3; 20 seconds
test strip 4;
15 minutes
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
7.
A critical
blood glucose result for an adult is a value that is
_____________. Critical results are documented on the
Accuchek Inform using the ______________ Comment
Code.
less than 50
mg/dl or greater than 450 mg/dl; Notified Provider
less than
10 mg/dl or greater than 600 mg/dl; Notified Provider
less than
30 mg/dl or greater than 300 mg/dl; Lab Study
less than 40
mg/dl or greater than 110 mg/dl; Operator error
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
8.
As
of 2005, Joint Commision requires documentation of blood glucose
results in the medical record include:
The control
lot number in use
The strip
lot number in use
The
glucometer serial number
The
glucose reference (normal) range
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
9.
Interfering substances are those substances which may lead
to lower or higher BG results (depending on substance type).
Manufacturers are obligated to disclose those substances.
As an Accuchek Inform user*, you should be aware of
the following interfering substances and how each one
impacts the BG result.
Maltose, Xylose, Galactose (elevate
result)
Estrogens
(decrease result)
Bilirubin
levels > 20 mg/dl (elevate result)
a & c
* note: Some of the above
interfering substances may apply to other glucometer brands
.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
10.
Controls must be performed when:
A new lot of strips is opened,
or improper storage is suspected (i.e. refrigerated strips,
or vial left open)
Once per
shift
The
meter has been dropped
The
patient's clinical symptom's do not really correlate with
the BG result
All of the above
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
