A home health nurse is reviewing treatment goals with a client who has diabetes mellitus.
The nurse should evaluate which of the following laboratory tests to determine effective long- term management of blood glucose levels?
3hr oral glucose tolerance test
HbA1c
Fasting blood glucose test
Urinalysis for ketones
The Correct Answer is B
A. 3hr oral glucose tolerance test - This test is typically used for diagnosing gestational diabetes or impaired glucose tolerance, not for long-term management.
B. HbA1c - Hemoglobin A1c reflects the average blood glucose levels over the past 2-3 months and is a reliable indicator of long-term glycemic control.
C. Fasting blood glucose test - This provides a snapshot of blood glucose levels at a specific point in time and is not as reliable for assessing long-term glycemic control as HbA1c.
D. Urinalysis for ketones - Urinalysis for ketones is useful for detecting acute complications such as diabetic ketoacidosis but does not reflect long-term management of blood glucose levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Sputum culture is used to diagnose active tuberculosis but is not typically used for routine screening of asymptomatic individuals.
B. Chest x-ray can detect active tuberculosis or its complications but is not typically used for routine screening of asymptomatic individuals.
C. QuantiFERON-TB Gold blood analysis is a blood test that detects the presence of tuberculosis infection but is not typically used for routine screening of asymptomatic individuals.
D. The Mantoux test, also known as the tuberculin skin test (TST), is commonly used for routine screening of tuberculosis infection in asymptomatic individuals, including new employees in healthcare settings.
Correct Answer is D
Explanation
A) The recommended hepatitis vaccine series is not a series of four but typically a three-dose series, which provides protection against hepatitis B.
B) Hepatitis B is not transmitted by contaminated food. It is spread through contact with infected blood, semen, or other body fluids.
C) While chronic hepatitis C has been associated with an increased risk of renal cell carcinoma, this is not established as a common outcome for all chronic hepatitis infections.
D) Individuals with a history of viral hepatitis, specifically hepatitis B or C, are generally ineligible to donate blood due to the risk of transmission.
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