A nurse is reviewing blood glucose values for a client who is at risk for diabetes mellitus. Which of the following findings should the nurse report to the provider?
Fasting blood glucose 70 mg/dL
2-hr glucose tolerance test level 150 mg/dL
Glycosylated hemoglobin 5%
Casual blood glucose 90 mg/dL
The Correct Answer is B
2-hour glucose tolerance test level 150 mg/dL: The 2-hour glucose tolerance test level of 150 mg/dL indicates elevated blood glucose levels after a glucose challenge. This finding suggests impaired glucose tolerance or impaired fasting glucose, which are considered pre-diabetic states. It is important to report this finding to the provider for further evaluation and consideration of interventions to prevent or delay the development of diabetes mellitus.
Fasting blood glucose 70 mg/dL: A fasting blood glucose level of 70 mg/dL is within the normal range. Typically, fasting blood glucose levels below 100 mg/dL are considered normal.
Therefore, this finding does not indicate a concern for diabetes.
Glycosylated hemoglobin 5%: A glycosylated hemoglobin (HbA1c) level of 5% is within the normal range. HbA1c is a measure of average blood glucose levels over the past two to three months, and a level below 5.7% is typically considered normal. Therefore, this finding does not indicate a concern for diabetes.
Casual blood glucose 90 mg/dL: A casual blood glucose level of 90 mg/dL is within the normal range. Casual blood glucose levels below 140 mg/dL are generally considered normal.
Therefore, this finding does not indicate a concern for diabetes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Obtain the client's electrolyte levels every 4 hr.While monitoring electrolyte levels is important, obtaining them every 4 hours is excessive for a client who is stable and just starting enteral feedings. Typically, electrolyte levels are monitored based on clinical condition and provider orders.
B. Keep the client's head elevated at 15° during feedings.The client's head should be elevated at least 30 to 45 degrees during enteral feedings to reduce the risk of aspiration and improve gastric emptying. A position of only 15 degrees is insufficient for safety.
C. Measure the client's gastric residual every 12 hr.Gastric residuals should be assessed more frequently, especially in the initial stages of enteral feeding. It is typically recommended to check gastric residuals every 4 to 6 hours to ensure proper gastric emptying and tolerance to the feedings.
D. Flush the client's tube with 30 mL of water every 4 hr.Flushing the tube with water every 4 hours is a standard practice to maintain tube patency, prevent clogging, and ensure that the client receives adequate hydration.
Correct Answer is C
Explanation
"I should limit the amount of fiber in my diet": This statement demonstrates an understanding of the teaching. In Crohn's disease, certain types of fiber can be difficult to digest and may worsen symptoms such as abdominal pain, diarrhea, and bowel obstruction. Therefore, it is often recommended to limit the intake of high-fiber foods during active disease flares.
"I will need to take mild laxatives to help me have a bowel movement": Taking laxatives is not typically recommended for individuals with Crohn's disease unless specifically prescribed by a healthcare provider. Laxatives can further irritate the intestines and potentially worsen symptoms. Therefore, this statement does not demonstrate an understanding of the teaching.
"I am likely to gain weight due to this disease": Weight loss is a more common occurrence in individuals with Crohn's disease due to factors such as decreased appetite, malabsorption, and increased metabolism. Weight gain is not typically associated with the disease, so this statement does not indicate an understanding of the teaching.
"Avoiding glutamine will help me recover from this disease": Glutamine is an amino acid that plays a role in gut health and repair. It is often considered beneficial for individuals with Crohn's disease as it supports intestinal healing. Therefore, avoiding glutamine would not be recommended for recovery from the disease. This statement does not indicate an understanding of the teaching.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today