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 A

Explanation

A) Monitoring the child's cardiac status is crucial in the acute phase of Kawasaki disease, as the disease can lead to complications such as myocarditis and coronary artery aneurysms. Regular assessment of heart rate, blood pressure, and any signs of heart failure is essential for early detection and intervention.

B) Antibiotics are not routinely administered for Kawasaki disease unless there is a concurrent bacterial infection. The primary treatment includes high-dose aspirin and intravenous immunoglobulin (IVIG) to reduce inflammation and prevent cardiac complications.

C) While acetaminophen can be used to manage fever and discomfort, giving it every hour is not appropriate. Scheduled doses should follow dosing guidelines to avoid toxicity and manage the child's symptoms effectively.

D) During the acute phase, children with Kawasaki disease may experience irritability and require rest. Providing stimulation with peers in the playroom may be inappropriate due to the need for reduced activity and rest, making this intervention less suitable.

A. Take pancrelipase. B. Complete oral hygiene. C. Eat a meal. D. Use an albuterol inhaler.

Correct Answer is D

Explanation

A) Taking pancrelipase is important for digestion in clients with cystic fibrosis, but it is not directly related to postural drainage. This medication is taken with meals to help with nutrient absorption rather than respiratory care.

B) Completing oral hygiene is generally good practice for overall health but does not specifically prepare the client for postural drainage. It does not impact the effectiveness of the drainage technique.

C) Eating a meal right before postural drainage is not advisable, as it may cause discomfort during the procedure. It's often recommended to wait after eating to allow for better clearance of mucus.

D) Using an albuterol inhaler prior to postural drainage is beneficial because it helps to open the airways, making it easier to clear mucus during the procedure. This action optimizes the effectiveness of postural drainage and is a standard practice in managing cystic fibrosis.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a preschool-age child who is in the acute phase of Kawasaki disease. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is A

Explanation

A nurse is caring for an adolescent client who has cystic fibrosis. Which of the following actions should the nurse instruct the client to take prior to initiating postural drainage?

Correct Answer is D

Explanation

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