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. Fortified cereals: Fortified cereals are a good source of non-heme iron, which is iron added during processing and derived from plant sources or synthetic compounds. While helpful in increasing iron intake, non-heme iron is not absorbed as efficiently by the body compared to heme iron found in animal-based foods.
B. Ground beef: Ground beef is a rich source of heme iron, which is derived from animal hemoglobin and myoglobin. Heme iron is better absorbed by the human body than non-heme iron, making it particularly beneficial for pregnant clients who have increased iron needs to support fetal development and increased blood volume.
C. Kale: Kale contains non-heme iron, as it is a plant-based food. While it contributes to overall iron intake and is nutritionally valuable, the form of iron in kale is less readily absorbed by the body, especially in the absence of vitamin C, which enhances non-heme iron absorption.
D. Lima beans: Lima beans also provide non-heme iron, similar to other legumes and plant-based sources. Though they can support iron intake, they are not considered a source of heme iron and therefore do not offer the same absorption efficiency as animal-based options like meat.
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.
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