A nurse is caring for a client who presents to the clinic reporting symptoms that suggest diabetes. What criteria would support checking blood levels for the diagnosis of diabetes?
Fasting plasma glucose greater than or equal to 126 mg/dL (7.0 mmol/L)
Random plasma glucose greater than 150 mg/dL (8.3 mmol/L)
Fasting plasma glucose greater than 116 mg/dL (6.4 mmol/L) on two separate occasions
Random plasma glucose greater than 126 mg/dL (7.0 mmol/L)
The Correct Answer is A
A. A fasting plasma glucose ≥126 mg/dL (7.0 mmol/L) on two separate occasions is a standard diagnostic criterion for diabetes.
B. Random plasma glucose values need to be ≥200 mg/dL with symptoms to support diagnosis, so 150 mg/dL is too low.
C. A fasting glucose >116 mg/dL is below the diagnostic cutoff for diabetes (126 mg/dL).
D. Random plasma glucose of ≥200 mg/dL (7.0 mmol/L is too low) with symptoms supports diagnosis, but 126 mg/dL is not a diagnostic cutoff for random glucose.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Hypermagnesemia can cause neuromuscular depression, leading to diminished or absent deep tendon reflexes, muscle weakness, and potentially respiratory depression.
B. Tachycardia is less common; hypermagnesemia more often causes bradycardia.
C. Cool, clammy skin is nonspecific and not a primary sign of hypermagnesemia.
D. Acute flank pain is more related to renal calculi or infections, not directly to high magnesium levels.
Correct Answer is ["A","C","E"]
Explanation
A. Excessive alcohol use is one of the leading causes of acute pancreatitis. Asking about alcohol intake helps identify this key risk factor.
B. Diabetes is more commonly a complication of chronic pancreatitis rather than a cause of acute pancreatitis.
C. Gallstones can block the pancreatic duct and are a major cause of acute pancreatitis.
D. While a high-fat diet may contribute to gallstone formation over time, it is not a direct cause of acute pancreatitis.
E. Cystic fibrosis can affect the pancreas and is a known hereditary risk factor, especially in younger patients, for pancreatitis.
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