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."

Answer and Explanation

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.

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Correct Answer is D

Explanation

A) “You should give your child a clear liquid diet for 24 hr.”:A clear liquid diet is not typically required following a cardiac catheterization. The child can usually resume a regular diet unless otherwise instructed by the healthcare provider.

B) “Your child can take a tub bath this evening.”:Tub baths should be avoided immediately after a cardiac catheterization to prevent infection at the catheter insertion site. Sponge baths are usually recommended until the site has healed.

C) “Your child should stay out of school for 7 days following the procedure.”:While some rest is necessary, staying out of school for 7 days is generally not required. The child can usually return to school within a few days, depending on their recovery and the healthcare provider’s advice.

D) “You should remove your child’s pressure dressing tomorrow.”:Removing the pressure dressing the day after the procedure is a common instruction. It allows the site to be inspected for any signs of infection or complications and ensures proper healing.

A. Fasting blood glucose 100 mg/dL B. Hgb 14 g/dL C. Heart rate 58/min D. WBC count 2,900/mm3

Correct Answer is D

Explanation

A. Fasting blood glucose 100 mg/dL: This level is within the normal range and does not contraindicate the use of clozapine. Monitoring blood glucose is important due to the risk of metabolic syndrome, but a normal level is not a concern.

B. Hgb 14 g/dL: Hemoglobin levels in this range are normal and indicate adequate oxygen-carrying capacity. This finding does not contraindicate the use of clozapine.

C. Heart rate 58/min: A heart rate of 58 beats per minute is considered bradycardic but does not directly contraindicate the use of clozapine. Monitoring cardiovascular health is important, but this alone is not a reason to withhold the medication.

D. WBC count 2,900/mm³: This finding is significant because clozapine can cause agranulocytosis, a potentially life-threatening decrease in white blood cells. A WBC count below 3,000/mm³ is a contraindication for clozapine administration, as it increases the risk of infection and other complications. Therefore, this finding indicates that clozapine should not be administered.

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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?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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