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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The nurse does not determine the presence or absence of mental illness; this is a medical assessment.
B. The spouse’s agreement is not required for the client’s consent; consent must come directly from the client if competent.
C. The nurse’s signature as a witness confirms that the client appears competent and voluntarily signs the consent form.
D. It is the provider’s responsibility, not the nurse’s, to explain the risks and benefits of the procedure.
Correct Answer is C
Explanation
A. Limiting intake to only non-caloric liquids is inappropriate; clients with diabetes and illness need adequate fluids and calories to prevent dehydration and maintain energy.
B. Both basal insulin (glargine) and rapid-acting insulin (lispro) should be continued; stopping glargine can cause hyperglycemia.
C. During illness ("sick day"), clients should monitor blood glucose frequently (every 4 hours) because infection can increase glucose levels. They should notify the clinic if glucose levels remain elevated or rise further. This is the safest and most appropriate advice.
D. Decreasing carbohydrate intake without medical advice can worsen blood glucose control during illness. Managing carbohydrate intake should be balanced with insulin and illness demands.
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