A nurse is teaching an adolescent who has type 1 diabetes mellitus.
Which of the following findings is the nurse's priority?
Cholesterol 189mg/dl
Glycosuria.
HbA1c of 11.5%
pre-prandial blood glucose.124mg/dL. .
The Correct Answer is C
Choice A rationale
While it’s important for individuals with diabetes to monitor their cholesterol levels, a cholesterol level of 189mg/dl is within the acceptable range for most people.
Choice B rationale
Glycosuria, or sugar in the urine, can be a sign of poorly controlled diabetes. However, it’s not typically used as a primary indicator of diabetes control.
Choice C rationale
An HbA1c level of 11.5% is significantly higher than the target range of less than 7% for most adults with
diabetes. This suggests that the individual’s blood sugar levels have been much higher than the target range for the past 2 to 3 months17.
Choice D rationale
A pre-prandial (before meal) blood glucose level of 124mg/dL is slightly higher than the target range of 70- 130mg/dL. However, it’s not as concerning as an HbA1c level of 11.5%.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The nurse should initiate droplet isolation precautions when admitting a child who has acute epiglottitis. Epiglottitis is commonly caused by Haemophilus influenzae type B and can be transmitted through respiratory droplets.
Correct Answer is B
Explanation
When prioritizing care for multiple clients, the nurse should first assess the client who is most unstable and has the most urgent needs. In this case, the adolescent with sickle cell anemia and slurred speech should be assessed first. Slurred speech could indicate a stroke, which is a life-threatening condition that requires immediate medical attention. The other clients, while they also require care, are not in immediate danger and can be assessed after the adolescent with sickle cell anemia.
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