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 C
Explanation
Baked ham: Baked ham is typically high in saturated fat and sodium, which are not favorable for a heart-healthy diet. Consuming excessive amounts of saturated fat can contribute to high cholesterol levels and increase the risk of coronary artery disease.
Canned potato soup: Canned potato soup often contains high levels of sodium and may also be high in saturated fat, depending on the specific brand and recipe. Excess sodium intake can lead to high blood pressure, which is a risk factor for coronary artery disease. Therefore, canned potato soup is not an ideal choice for a heart-healthy diet.
Broiled salmon: Broiled salmon is an excellent choice for a heart-healthy diet. It is rich in omega-3 fatty acids, which have been shown to have cardiovascular benefits, including reducing the risk of heart disease. Salmon is also a good source of lean protein and contains
less saturated fat compared to red meats. It is recommended to choose broiled or grilled salmon rather than fried or breaded preparations to minimize added fats and oils.
Processed cheese: Processed cheese, such as cheese slices or spreads, tends to be high in saturated fat and sodium. These types of cheeses are not the best choice for a heart-healthy diet. It is better to opt for natural, low-fat cheeses or other dairy alternatives that are lower in saturated fat and sodium.
Correct Answer is C
Explanation
Dysphagia refers to difficulty or discomfort in swallowing. It can occur as a result of weakened or impaired muscles involved in swallowing, which is common after a stroke. When dysphagia is present, it can affect the function of the vocal cords and lead to changes in voice quality, including hoarseness. The hoarseness may be due to the entry of food or liquid into the airway during swallowing, causing irritation to the vocal cords.
Weight gain is not a typical manifestation of dysphagia. If dysphagia is severe and leads to food avoidance or restricted intake, weight loss may occur instead.
Continuous smiling is not a specific manifestation of dysphagia. It may be seen in some stroke survivors as a result of changes in facial muscle control, such as facial weakness or spasticity. However, it is not directly related to dysphagia.
Expressive aphasia refers to difficulty expressing thoughts or using language effectively. It is a common language impairment that can occur after a stroke, specifically affecting the ability to produce or articulate words and sentences. While it is a communication difficulty, it is not directly related to dysphagia, which specifically refers to difficulty swallowing.
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