Abstract
This study aimed at evaluating the rationale for assessing student nurses on urine testing by the nursing council examiners, was carried out using questionnaire. The council examiners were located at nursing conferences and were randomly selected. The results show that most of the respondents exhibited poor knowledge of blood glucose levels and their rationale for examining the student on urine glucose were based on residual knowledge and old practices. Massive education of nurses on the use of blood glucose monitoring and further study on the knowledge of council examiners on the other areas on which they examine the students must be evaluated to enhance further generation nurses. Key words: Rationale for assessing, students nurses, urine glucose test, nursing council examiners.
Highlights
Evidence was available as early as 1940s that diabetics produce sugar-free urine on treatment and even when their blood sugar is as high as 200 to 250 mg/dl (Lawrence, 1940)
The results show that 96% of the examiners asked student’s questions on urine testing, while 79% asked the students to demonstrate urine testing. 73% of the respondents stated that positive result in urine specimen indicates high level of sugar in the blood
While 62% stated that negative result of sugar in urine specimen from client indicate low level of sugar in the client blood. 43% of the respondents were of the opinion that negative result of urine sugar indicates absence of diabetes. 47% were of the opinion that urine glucose level could be used to monitor insulin therapy in diabetics
Summary
Evidence was available as early as 1940s that diabetics produce sugar-free urine on treatment and even when their blood sugar is as high as 200 to 250 mg/dl (Lawrence, 1940). This high blood glucose level is due to the renal threshold of sugar. In non-diabetics, an increased blood glucose concentration stimulates the release of insulin from the pancreas. Insulin promotes glucose uptake and suppresses the production of new glucose (glyconeogenesis) to maintain blood glucose stability within the body (Crosser and McDowell, 2007). Glucose will seep into the urine only when there is excess glucose in the blood and the renal threshold of glucose exceeded. The renal threshold for glucose is 180 mg/dl
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