A client with type 2 diabetes mellitus has a hemoglobin A1C value of 9.1%. Which action should the nurse take?
Reference Range: Glycosylated hemoglobin (A1C) [4% to 5.9%]
Congratulate the client on excellent glycemic control.
Report the laboratory value to the healthcare provider immediately.
Ask the client why the hemoglobin A1C value is out of control.
Explore the diabetes self-care regimen with the client.
None
None
The Correct Answer is D
Choice A reason: An A1C of 9.1% is significantly above the target range and indicates poor glycemic control. Congratulating the client would be inappropriate and misleading, potentially undermining the seriousness of the situation.
Choice B reason: While the value should be communicated to the healthcare provider, immediate reporting is not typically required unless the client is symptomatic or experiencing complications. The nurse’s role includes assessment and education before escalation.
Choice C reason: Asking the client why their A1C is out of control may come across as accusatory and lacks therapeutic communication. It does not foster collaboration or support behavior change. The nurse should use motivational interviewing and assessment techniques instead.
Choice D reason: Exploring the diabetes self-care regimen allows the nurse to identify gaps in medication adherence, dietary habits, physical activity, and glucose monitoring. This approach supports patient-centered care and enables tailored interventions to improve glycemic control.
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Related Questions
Correct Answer is C
Explanation
Choice A reason: Employee turnover affects staffing stability but does not directly reflect client outcomes. It is more relevant to administrative and human resource evaluations.
Choice B reason: The rate of client death may be influenced by the population’s age and health status, making it a less reliable indicator of care quality unless deaths are unexpected or preventable.
Choice C reason: Falls are a key quality indicator in long-term care settings. They reflect safety, supervision, and effectiveness of fall prevention strategies. Tracking fall rates helps identify areas for improvement and aligns with national patient safety goals.
Choice D reason: Employee satisfaction is important for retention and morale but does not directly measure client outcomes. It is a secondary metric in evaluating care standards.
Correct Answer is B
Explanation
Choice A reason: Seatbelt campaigns are important for vehicle safety but do not directly impact pedestrian safety for children walking to school. The focus should be on protecting children in transit, not drivers.
Choice B reason: Designated safe houses provide children with secure locations to seek help if they feel threatened or unsafe while walking. This strategy directly enhances pedestrian safety and community engagement.
Choice C reason: Lead inspections are important for environmental health but are unrelated to the immediate safety of children walking to and from school. This action does not address the PTO’s goal.
Choice D reason: Keeping porch lights on improves visibility and may deter crime, but it is a passive measure. It does not offer direct support or protection for children in distress.
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