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
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Related Questions
Correct Answer is D
Explanation
A. Being NPO for a short period poses minimal risk of fluid deficit if oral intake was adequate before.
B. Clients with left-sided heart failure are more at risk for fluid volume excess, not deficit.
C. End-stage renal failure patients on dialysis are managed to prevent fluid overload; dialysis removes excess fluid.
D. Gastroenteritis with fever increases fluid loss through vomiting, diarrhea, and insensible loss, putting the client at high risk for fluid volume deficit.
Correct Answer is C
Explanation
A. Pancreas transplantation is rare and not a primary treatment for type 2 diabetes.
B. Oral antidiabetic agents should be taken regularly as prescribed, not only when blood sugar is high.
C. Lifestyle modification, especially weight loss, is the cornerstone of type 2 diabetes management and can significantly improve insulin sensitivity.
D. Insulin therapy is not the primary treatment for all clients with type 2 diabetes; many manage with lifestyle and oral agents first.
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