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 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."
"This test checks my blood sugar over the last few months.”
The Correct Answer is D
A. The HbA1c test does not check for ketones in urine. Ketone testing is separate and used to assess for diabetic ketoacidosis or inadequate insulin use, not for monitoring long-term blood glucose control.
B. While the HbA1c test involves hemoglobin, it does not measure the total amount of hemoglobin in the blood. Instead, it reflects the percentage of hemoglobin that has glucose attached to it over a period of time.
C. The HbA1c test does not measure oxygen levels in the blood. It specifically measures the average blood glucose level over a 2-3 month period by assessing the percentage of glucose-bound hemoglobin.
D. The HbA1c test provides an indication of long-term blood glucose control, reflecting the average blood glucose levels over the past 2-3 months. It is a crucial tool for managing diabetes and monitoring the effectiveness of treatment plans.
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Related Questions
Correct Answer is D
Explanation
A. The Poker Chip Tool is used to assess pain in children who can understand the concept of "a few" to "lots" of pain, typically in older children. It is not appropriate for infants or toddlers.
B. The Color tool is used for children who can associate color with pain intensity, but it is generally for older children who can understand this system, not for infants.
C. The Numeric scale is designed for children who are old enough to understand and use numbers (typically older than 8 years). An 18-month-old would not be able to understand this scale.
D. The FLACC (Face, Legs, Activity, Cry, Consolability) scale is specifically designed to assess pain in infants and nonverbal children. It uses behavioral indicators to rate pain intensity and is appropriate for an 18-month-old toddler.
Correct Answer is D
Explanation
A. Haemophilus influenzae type b (Hib) vaccination is typically given to infants and toddlers, not to children who are 11 years old. The child would likely have already received this vaccine as part of their early childhood immunizations.
B. Hepatitis A vaccination is recommended for children, but it is typically given earlier in childhood (around 1 year of age), and would not be given at 11 years old unless it is part of a catch-up schedule.
C. Rotavirus vaccination is given to infants, and by the age of 11, the child should have completed the recommended series.
D. The Human papillomavirus (HPV) vaccine is recommended for children ages 11 to 12 years, making it appropriate for this child. The nurse should plan to administer the HPV vaccine as part of routine immunizations for this age group.
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