A nurse is checking the laboratory results of a client who is at risk for diabetes mellitus. Which of the following laboratory results indicates to the nurse that the client is at risk for diabetes mellitus?
2-hr blood glucose 132 mg/dL.
HbA1c 5.2%.
Casual blood glucose 178 mg/dL.
Fasting blood glucose 155 mg/dL. .
The Correct Answer is D
Choice A rationale
A 2-hour blood glucose level of 132 mg/dL is below the threshold for diabetes diagnosis, which is 200 mg/dL or higher.
Choice B rationale
An HbA1c level of 5.2% is within the normal range. Diabetes is diagnosed with an HbA1c of 6.5% or higher.
Choice C rationale
A casual blood glucose level of 178 mg/dL is elevated but not diagnostic of diabetes. Diabetes is diagnosed with a casual blood glucose level of 200 mg/dL or higher.
Choice D rationale
A fasting blood glucose level of 155 mg/dL is above the threshold for diabetes diagnosis, which is 126 mg/dL or higher. This indicates that the client is at risk for diabetes mellitus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Suprapubic tenderness is correct. Cystitis, an inflammation of the bladder, often presents with suprapubic tenderness due to the irritation and inflammation of the bladder wall.
Choice B rationale
Proteinuria is incorrect. While proteinuria can be a sign of kidney disease, it is not a typical finding in cystitis. Cystitis primarily affects the bladder and does not usually cause significant protein leakage into the urine.
Choice C rationale
Generalized edema is incorrect. Generalized edema is more commonly associated with conditions that affect the kidneys’ ability to filter blood, such as nephrotic syndrome, rather than cystitis.
Choice D rationale
Oliguria is incorrect. Oliguria, or reduced urine output, is not a typical symptom of cystitis. Cystitis usually causes symptoms like frequent urination, urgency, and dysuria.
Correct Answer is A
Explanation
Choice A rationale
Elevated creatinine is a common finding in clients with chronic kidney disease due to decreased renal function and impaired clearance of creatinine from the blood.
Choice B rationale
Decreased urine specific gravity is not typically associated with chronic kidney disease. Clients with chronic kidney disease may have an increased or normal urine specific gravity.
Choice C rationale
Hypokalemia is not a typical finding in chronic kidney disease. Clients with chronic kidney disease are more likely to have hyperkalemia due to impaired renal excretion of potassium.
Choice D rationale
Decreased BUN (blood urea nitrogen) is not expected in chronic kidney disease. Elevated BUN levels are more common due to reduced renal clearance of urea.
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