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A nurse is assessing an adolescent who has type 1 diabetes mellitus. Which of the following findings is the nurse's priority?

A.

Cholesterol 189 mg/dL

B.

HbA1c 11.5%

C.

Glycosuria

D.

Preprandial blood glucose 124 mg/dL

Answer and Explanation

The Correct Answer is B

A.  While an elevated cholesterol level is a concern in diabetes, it is not the priority in this case. The elevated HbA1c level indicates a more pressing issue that requires immediate attention.
 
B.    The correct answer is B. HbA1c 11.5%. HbA1c is a measure of the average blood glucose level over the past 2 to 3 months. A high HbA1c indicates poor glycemic control and increased risk of complications from diabetes. The nurse's priority is to address the factors that are contributing to the high HbA1c and provide education and support to improve the adolescent's self-management. 

C.    Glycosuria, while important to monitor, is a common finding in uncontrolled diabetes.
It indicates elevated blood glucose levels and may require adjustments in the treatment plan. However, it is not as critical as addressing the elevated HbA1c level.

D.    A preprandial blood glucose level of 124 mg/dL is within a reasonable range for an adolescent with diabetes. It is important to monitor blood glucose levels, but the elevated HbA1c level takes precedence in this situation.


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Related Questions

Correct Answer is D

Explanation

A. Applying baby powder under the harness straps may cause irritation and should be avoided.

B. Massaging lotion into the skin under the harness is not necessary and may lead to skin irritation or interfere with the harness's function.

C. Adjusting the harness straps daily is important to ensure a proper fit as the infant grows.

D. Placing the diaper under the straps of the harness helps to prevent irritation and allows for a more secure fit of the harness. It also helps to keep the diaper in place.

Correct Answer is A

Explanation

A. Hyperpyrexia, or extremely high fever, is a potential complication of acute
acetylsalicylic acid (aspirin) poisoning. It can occur due to the toxic effects of salicylates on the hypothalamus, which regulates body temperature.

B. Polyuria (excessive urination) is not a typical finding associated with acute acetylsalicylic acid poisoning.

C. Jaundice (yellowing of the skin and eyes) is not a typical finding associated with acute acetylsalicylic acid poisoning.

D. Neck vein distention is not a typical finding associated with acute acetylsalicylic acid poisoning. It may be a sign of increased central venous pressure, which is not directly related to salicylate toxicity.

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