A client reports to the clinic nurse of recently experiencing symptoms of frequent urination, hunger, and great thirst. What finding (s) would the nurse consider as most significant to report to the healthcare provider? Select all that apply.Reference Range
Potassium [3.5 to 5 mEq/L (3.5 to 5 mmol/L)]
Glucose [74 to 106 mg/dL (4.1 to 5.9 mmol/L)]
Hemoglobin A1C [4% to 5.9%]
Hematocrit [42% to 52% (0.42 to 0.52 volume fraction)]
Total Cholesterol [less than 200 mg/dL (less than 5.2 mmol/L)]
Serum potassium of 4.2 mEq/L. (4.2 mmol/L)
Hemoglobin A1C 7%.
Total cholesterol 180 mg/dL (4.7 mmol/L).
Hematocrit 45% (0.45 volume fraction).
Random plasma glucose level 200 mg/dl (11.1 mmol/L).
Correct Answer : B,E
A. Serum potassium within the reference range is not typically a cause for concern in this scenario.
B. A hemoglobin A1C level of 7% indicates poor glycemic control and may suggest the need for adjustment in diabetes management, as it exceeds the recommended target range.
C. Total cholesterol within the reference range is not the most significant finding to report in this scenario.
D. Hematocrit within the reference range is not the most significant finding to report in this scenario.
E. A random plasma glucose level of 200 mg/dl (11.1 mmol/L) is indicative of hyperglycemia and requires attention as it suggests poor glycemic control, potentially related to diabetes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Asking about the effectiveness of antifungal creams is not relevant to herpes zoster, which is caused by the varicella-zoster virus.
B. Inquiring about family members sharing combs and brushes is not directly related to herpes zoster, as it is not transmitted through sharing personal items.
C. Asking about dry patches on the feet and hands may provide information about other dermatological conditions but does not specifically address herpes zoster.
D. Asking whether everyone at home has already had varicella is important because herpes zoster, commonly known as shingles, is caused by reactivation of the
varicella-zoster virus, which also causes chickenpox (varicella). Individuals who have not had chickenpox or been vaccinated against it may be at risk of developing chickenpox if exposed to herpes zoster lesions.
Correct Answer is A
Explanation
A. Reviewing the white blood cell (WBC) count is important because purulent drainage suggests infection, and an elevated WBC count may indicate an inflammatory response to infection.
B. Hematocrit is an important parameter to monitor but may not directly indicate the presence of infection associated with purulent drainage in a burn wound.
C. Blood pH level is an important parameter to monitor but may not directly indicate the presence of infection associated with purulent drainage in a burn wound.
D. Platelet count is an important parameter to monitor but may not directly indicate the presence of infection associated with purulent drainage in a burn wound.
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