A nurse is providing teaching to a client who has diabetes mellitus about the glycosylated hemoglobin blood test. Which of the following statements by the client indicates an understanding of this test?
"I will use the results of this test daily to modify my insulin dosage."
"I will need to drink a glucose solution to get an accurate result."
"I will use this test to monitor how well I control my blood glucose levels."
"I will need to fast prior to taking this test."
The Correct Answer is C
A) Using the results of the glycosylated hemoglobin (HbA1c) test daily to modify insulin dosage is not accurate. The HbA1c reflects average blood glucose levels over the past 2-3 months and is not intended for immediate adjustments to insulin therapy.
B) Drinking a glucose solution is not necessary for the HbA1c test. This test measures the percentage of hemoglobin that is glycated and does not require any specific preparation like glucose ingestion.
C) Using this test to monitor how well blood glucose levels are controlled is accurate. The HbA1c test provides a long-term view of blood glucose control, helping both the client and healthcare provider assess the effectiveness of diabetes management strategies over time.
D) Fasting is not required prior to the HbA1c test. Unlike other glucose tests, the HbA1c can be performed at any time without fasting, making it a convenient option for ongoing monitoring.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Determine if the client has thoughts about self-harm: In situations of acute grief and trauma, assessing for suicidal ideation is the priority. The nurse must ensure the client's safety first, as the loss of a partner in such a tragic circumstance can lead to overwhelming feelings of despair and hopelessness.
B) Review the client's available social support system: While understanding the client’s social support is important for ongoing care and coping strategies, it is not the immediate priority. Ensuring the client’s safety takes precedence over evaluating their support network.
C) Empower the client to feel that he is in charge of his life: Empowering the client is a valuable goal for long-term recovery, but it should come after assessing immediate safety and mental health needs. The client may not be in a state to feel empowered until basic concerns about their well-being are addressed.
D) Find the client a temporary shelter where he can feel safe: While finding shelter is crucial for the client’s physical safety and security, this action should follow the immediate assessment of the client’s mental health and any risk of self-harm. Ensuring psychological safety is the first step before addressing logistical needs.
Correct Answer is B
Explanation
A) Administering the medication at bedtime is not advisable because methylphenidate is a stimulant that can cause insomnia. It's typically recommended to give it in the morning or after breakfast to help manage symptoms during the day while minimizing sleep disturbances.
B) Administering the medication after breakfast is the best practice. Taking methylphenidate with food can help reduce gastrointestinal side effects and improve the medication's effectiveness throughout the school day. This timing also aligns with the medication's action profile to support focus and attention during daytime activities.
C) While monitoring sodium intake can be important for overall health, there is no specific requirement for children taking methylphenidate to avoid excess sodium. Instead, a balanced diet is generally encouraged, and any dietary changes should be discussed with a healthcare provider.
D) Foods containing tyramine are typically associated with monoamine oxidase inhibitors (MAOIs) and are not specifically a concern with methylphenidate. Therefore, advising avoidance of tyramine-rich foods is not relevant in this context, and the focus should be on proper medication management and monitoring for side effects.
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