A nurse is reinforcing teaching about the purpose of the HbA1c test with an adolescent who has type 1 diabetes mellitus.Which of the following statements by the adolescent indicates an understanding of the teaching?
This test checks my blood sugar over the last few months.
This test checks for ketones in my urine.
This test measures the amount of hemoglobin in my blood.
This test tells me how much oxygen my body is carrying.
The Correct Answer is A
Choice A rationale
The HbA1c test measures the average blood glucose levels over the past two to three months by assessing the percentage of glycosylated hemoglobin. Hemoglobin within red blood cells binds to glucose, and the higher the blood glucose levels, the more glucose is bound to hemoglobin.
Choice B rationale
The HbA1c test does not check for ketones in the urine. Ketone testing is typically done using urine test strips, which indicate if the body is using fat for energy instead of carbohydrates, a condition that can occur in poorly managed diabetes.
Choice C rationale
The HbA1c test does not measure the amount of hemoglobin in the blood. It specifically evaluates how much glucose is attached to hemoglobin, providing insight into the effectiveness of diabetes management over a period of time.
Choice D rationale
The HbA1c test does not indicate oxygen-carrying capacity. Oxygen levels are assessed by different tests, such as arterial blood gas analysis or pulse oximetry, and are not related to the HbA1c measurement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Providing cherry fruit juice is not recommended for a child immediately postoperative following a tonsillectomy. Red-colored fluids can be mistaken for blood if the child vomits, making it difficult to assess for postoperative bleeding. Clear or light-colored fluids are preferred.
Choice B rationale
Reminding the child to cough and deep breathe is not appropriate immediately postoperative following a tonsillectomy. Coughing can dislodge clots and increase the risk of bleeding at the surgical site. Encouraging gentle breathing exercises may be more suitable.
Choice C rationale
Encouraging the child to use a straw is not advised following a tonsillectomy. The use of a straw can create negative pressure in the mouth and throat, which may disrupt the surgical site and increase the risk of bleeding. Sipping from a cup is preferred.
Choice D rationale
Applying an ice collar can help reduce pain and swelling in the throat area following a tonsillectomy. Cold therapy is effective in providing comfort and minimizing inflammation, making it a beneficial intervention for postoperative care. .
Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"B"},"C":{"answers":"A"}}
Explanation
A. Characteristics of cough:. Acute laryngotracheobronchitis. Pertussis.
B. Age:. Pertussis.
C. Temperature:. Acute laryngotracheobronchitis.
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