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","D"]
Explanation
Choice A rationale
Providing a pacifier coated with an oral sucrose prior to injections can help reduce the infant’s pain response. The sweetness of the sucrose can distract the infant and provide some comfort.
Choice B rationale
Injecting the immunizations into the deltoid muscle is not recommended for infants. The deltoid muscle is not usually used until children are older and have more muscle mass.
Choice C rationale
Using a 20-gauge needle for injections is not typically recommended for infants. Smaller gauge needles are usually used to minimize discomfort.
Choice D rationale
Applying a eutectic mixture of local anesthetics cream immediately before the injections can help numb the skin and reduce pain. This can make the injection process less distressing for the infant.
Correct Answer is A
Explanation
The correct answer is A. Antibiotics initiated 24 hr ago.
Explanation:
Children with bacterial meningitis require droplet precautions to prevent the spread of infection. These precautions can typically be discontinued after 24 hours of effective antibiotic therapy, as the risk of transmission significantly decreases.
Why the other options are incorrect:
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B. Negative cerebrospinal fluid (CSF) culture – While a negative CSF culture confirms the absence of bacteria, cultures may take several days to process. Droplet precautions are usually lifted based on treatment duration, not pending lab results.
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C. Absent nuchal rigidity – Nuchal rigidity (stiff neck) is a symptom of meningitis, but its resolution does not determine infectious risk.
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D. Temperature below 37.4°C (99.4°F) – Fever reduction is a sign of improvement but does not indicate that the infection is no longer transmissible.
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