A client asks a nurse, “What is a hemoglobin A1C test?” Which of the following is the most appropriate response?
It evaluates glycemic control over a 3-month period by measuring the glucose attached to hemoglobin.
It uses the level of serum protein to evaluate glycemic control.
It evaluates serum ketone production over several days.
It determines the amount of glucose attached to hemoglobin over the last seven days.
The Correct Answer is A
Choice A rationale
The hemoglobin A1C test, also known as the HbA1C or glycated hemoglobin test, is a blood test that evaluates glycemic control over a 3-month period by measuring the glucose attached to hemoglobin. This test is commonly used to diagnose and monitor diabetes. It provides an average of your blood sugar levels over the past 2-3 months, which can help healthcare providers assess how well diabetes is being managed.
Choice B rationale
The hemoglobin A1C test does not use the level of serum protein to evaluate glycemic control. Instead, it measures the amount of glucose that is attached to the hemoglobin in your red blood cells.
Choice C rationale
The hemoglobin A1C test does not evaluate serum ketone production over several days. Ketones are produced when the body burns fat for energy, which can occur when there is not enough insulin to help your body use sugar for energy. High levels of ketones can lead to diabetic ketoacidosis, a serious condition that requires immediate medical attention.
Choice D rationale
The hemoglobin A1C test does not determine the amount of glucose attached to hemoglobin over the last seven days. Instead, it provides an average of your blood sugar levels over the past 2-3 months. -
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Activated Partial Thromboplastin Time (aPTT) of 25 is within the normal range (25-35 seconds) and is not directly related to deep vein thrombosis (DVT)89.
Choice B rationale
A D-dimer level of 500 ng/mL is elevated (normal range is typically less than 250 ng/mL), which can indicate the presence of a clot, such as in DVT8910.
Choice C rationale
Prothrombin Time (PT) of 14 seconds is within the normal range (11-13.5 seconds) and is not directly related to DVT89.
Choice D rationale
A platelet count of 148,000 uL is within the normal range (150,000-450,000 uL) and is not directly related to DVT89.
Correct Answer is D
Explanation
Choice A rationale
Testing the stool for occult blood is not typically necessary for a client taking an antibiotic that causes diarrhea. While antibiotics can cause changes in the gastrointestinal tract, they do not typically cause gastrointestinal bleeding.
Choice B rationale
Increasing roughage in the diet can help bulk up the stool and may help alleviate some cases of diarrhea. However, it’s not the primary recommendation for a client taking an antibiotic that causes diarrhea.
Choice C rationale
Requesting the physician for a different antibiotic if diarrhea persists can be an appropriate action. However, this is typically recommended after other strategies, such as adding probiotics to the diet, have been tried.
Choice D rationale
Adding yogurt to the diet is often recommended for clients taking an antibiotic that causes diarrhea. Yogurt contains probiotics, which can help restore the balance of good bacteria in the gut and alleviate diarrhea.
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