A client with diabetes has a glycosylated hemoglobin A1C measurement of 5%. Based on this laboratory test result, what should the nurse conclude about this client's needs?

The client needs a consultation with a healthcare provider to evaluate the therapeutic effects of his insulin regimen.

The client requires further teaching regarding nutritional guidelines.

The client is experiencing rebound hyperglycemia.

The client has followed the treatment plan as prescribed.

Answer and Explanation

The Correct Answer is D

A. A consultation is unnecessary in this context, as the A1C result indicates excellent glucose control.
B. Further teaching is not indicated because the lab result shows the client is likely adhering to nutritional recommendations.
C. Rebound hyperglycemia, such as the Somogyi effect, would likely result in an elevated A1C.
D. An A1C of 5% is within the normal range and suggests that the client's blood glucose levels have been well controlled over the past 2–3 months, indicating adherence to the prescribed treatment plan.

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Correct Answer is A

Explanation

A. Hypomagnesemia is common in chronic alcoholism and can cause increased blood pressure, hyperactive reflexes, abdominal issues, and mood changes.
B. Hypermagnesemia typically causes decreased reflexes and hypotension.
C. Hypocalcemia can cause neuromuscular irritability but is less directly associated with these symptoms in alcoholism.
D. Hypercalcemia generally causes decreased reflexes and lethargy.

A. Keep a loose seal between the lips and the mouthpiece. B. Inhale as rapidly as possible. C. After maximum inspiration, hold the breath for 20 seconds and exhale. D. The best results are achieved when sitting up or with the head of the bed elevated 45 to 90 degrees.

Correct Answer is D

Explanation

A. A tight seal between the lips and mouthpiece is necessary to effectively use the incentive spirometer.
B. Inhalation should be slow and deep, not rapid, to maximize lung expansion.
C. The breath should be held for about 3 to 5 seconds, not 20 seconds, to prevent dizziness.
D. Sitting up or elevating the head of the bed improves lung expansion and enhances the effectiveness of the incentive spirometer.

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A client with diabetes has a glycosylated hemoglobin A1C measurement of 5%. Based on this laboratory test result, what should the nurse conclude about this client's needs?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who has a history of Chronic alcoholism and is experiencing increased blood pressure, hyperactive deep tendon reflexes, abdominal distention, and mood changes. Which electrolyte imbalance does the client have?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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