A nurse is reviewing the laboratory findings of a client who has type 1 diabetes mellitus. Which of the following findings should the nurse report to the provider immediately?

Platelets 130,000/mm3 (150,000 to 400,000/mm)

Creatinine 1.3 mg/dL (0.5 to 1.1 mg/dl)

Glucose 423 mg/dL (74 to 106 mg/dL)

HbA1c 9% (4% to 5.99%)

Answer and Explanation

The Correct Answer is C

A. Platelets 130,000/mm³ (150,000 to 400,000/mm³). This value is slightly below normal and indicates mild thrombocytopenia. While it should be monitored, it is not immediately life-threatening and does not typically require urgent intervention in the absence of active bleeding or symptoms.
B. Creatinine 1.3 mg/dL (0.5 to 1.1 mg/dL). This level is slightly elevated and may suggest early renal impairment, which is a concern in clients with diabetes. However, it does not require urgent reporting unless there are signs of acute kidney injury or rapid progression.
C. Glucose 423 mg/dL (74 to 106 mg/dL). This critically high blood glucose level indicates severe hyperglycemia and places the client at immediate risk for complications such as diabetic ketoacidosis (DKA). This finding requires prompt reporting and intervention to prevent further deterioration.
D. HbA1c 9% (4% to 5.99%). This value reflects poor long-term glycemic control and increases the risk of chronic complications, but it does not indicate an acute emergency. It requires follow-up, not immediate action.

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Correct Answer is A

Explanation

A. "I will eat something when I feel hungry." Responding to true physical hunger is a principle of mindful eating, which supports weight loss by preventing overeating due to emotional or external cues. Recognizing and honoring hunger promotes better portion control and sustainable eating habits.
B. "I will peel apples before I eat them." Apple peels contain fiber, which increases satiety and supports digestive health. Removing the peel reduces fiber content, which may make the snack less filling and hinder weight management efforts.
C. "I will eliminate carbohydrates from my diet." Eliminating carbohydrates completely is not recommended for healthy weight loss. Balanced diets that include whole grains, fruits, and vegetables support long-term weight management and provide essential nutrients.
D. "I will use corn oil when frying foods." Frying foods, regardless of the type of oil, increases calorie density and may not support weight loss. Healthier cooking methods like baking, steaming, or grilling are preferred for reducing fat intake and promoting weight control.

A. Instruct the client to lie down after a meal. B. Encourage the client to rest prior to mealtimes. C. Turn on the client's television during meals. D. Place the client into a semi-reclined position for meals.

Correct Answer is B

Explanation

A. Instruct the client to lie down after a meal: Lying down after meals increases the risk of aspiration in clients with difficulty swallowing. It impairs gravity-assisted esophageal emptying and allows food or liquids to reflux, increasing the chance of choking or aspiration pneumonia.
B. Encourage the client to rest prior to mealtimes: Resting before meals conserves the client's energy, allowing them to focus on eating slowly and carefully, which promotes safer swallowing. Fatigue increases the risk of aspiration because muscle coordination during swallowing becomes impaired.
C. Turn on the client's television during meals: Turning on the television is a distraction that can reduce the client’s attention during chewing and swallowing. This lack of focus increases the risk of aspiration or choking, especially in clients with dysphagia.
D. Place the client into a semi-reclined position for meals: A semi-reclined position may hinder proper swallowing mechanics and promote aspiration. Clients with swallowing difficulty should ideally be in an upright 90-degree sitting position to reduce aspiration risk during meals.

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A nurse is reviewing the laboratory findings of a client who has type 1 diabetes mellitus. Which of the following findings should the nurse report to the provider immediately?

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