A nurse is providing teaching to a client who recently had a hemoglobin A1c level obtained. Which of the following statements should the nurse include in the teaching?
"This lab measures your average blood glucose over a 3-month period."
"An increase in your hemoglobin A1c level indicates glycemic control."
"This lab value is a good indicator of short-term nutritional status."
"You will need to fast before getting this test."
The Correct Answer is A
A. "This lab measures your average blood glucose over a 3-month period." The hemoglobin A1c test reflects the average blood glucose levels over the past 2 to 3 months by measuring the percentage of glucose attached to hemoglobin in red blood cells. Since red blood cells have a lifespan of about 120 days, this test provides a long-term view of glycemic control.
B. "An increase in your hemoglobin A1c level indicates glycemic control." An increase in hemoglobin A1c levels actually indicates poor glycemic control, not improvement. Higher values mean blood glucose has been elevated over time, which can lead to complications such as neuropathy, nephropathy, and retinopathy in diabetic patients.
C. "This lab value is a good indicator of short-term nutritional status." The hemoglobin A1c test is not used to assess short-term nutritional status. Instead, it measures long-term blood glucose trends. For evaluating short-term changes in nutrition, blood glucose logs or postprandial glucose readings are better tools to use.
D. "You will need to fast before getting this test." Fasting is not required for the hemoglobin A1c test. The result is not affected by recent food intake, making it convenient for patients. This feature makes it more practical than fasting plasma glucose or oral glucose tolerance tests when assessing overall glycemic control in diabetes management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. 1 cup cooked quinoa: Quinoa is a healthy grain that contains potassium, but the amount is moderate compared to other foods. One cup provides around 318 mg, which is beneficial but not the highest among the options listed. It is not considered a high-potassium food source in comparison to dried fruits.
B. 1 cup dried apricots: Dried apricots are one of the most potassium-rich foods available. One cup contains over 1,500 mg of potassium, making it a top dietary source. This makes them an excellent choice when educating clients on increasing potassium intake.
C. 1 cup cheddar cheese: Cheddar cheese contains only about 200 mg of potassium per cup. While it provides other nutrients like calcium and protein, it is not a good source of potassium. Additionally, it is often high in sodium, which can be problematic for some clients.
D. 1 cup brown rice: Brown rice provides approximately 150 mg of potassium per cup. While it is a nutritious whole grain with fiber and complex carbohydrates, its potassium content is relatively low compared to dried fruits such as apricots.
Correct Answer is ["A","B","C","D"]
Explanation
- Preschooler unable to bear weight on legs when walking: This is a concerning physical limitation in a child of this age and suggests a possible musculoskeletal or nutritional disorder. In vitamin D deficiency, it may indicate bone pain or weakness due to poor mineralization, requiring prompt evaluation and intervention.
- Preschooler refuses all dairy products: Dairy products are a primary source of dietary calcium and often fortified with vitamin D, both essential for healthy bone development. A prolonged lack of dairy in a young child's diet can lead to nutritional deficiencies, particularly if the overall diet is limited or unbalanced.
- Legs are bowed bilaterally: Bowed legs in a preschool-aged child are a classic sign of rickets, a condition resulting from vitamin D deficiency. This skeletal deformity reflects impaired bone development and mineralization and warrants immediate medical follow-up to prevent further complications.
- Vitamin D 5 ng/mL (25 to 80 ng/mL): This level is critically low and indicates a severe vitamin D deficiency. Such a deficiency impairs calcium absorption, leading to weakened bones and increasing the risk for rickets, fractures, and long-term skeletal issues if not corrected.
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