After starting the treatment for type 2 diabetes mellitus 6 months earlier, a client is in the office for a follow-up examination. The nurse will monitor which laboratory test to evaluate the clients adherence to the antidiabetic therapy over the past few months?
Serum insulin levels
Hemoglobin levels
Hemoglobin A1C level
Fingerstick fasting blood glucose level
The Correct Answer is C
A. Serum insulin levels reflects short-term insulin secretion but does not indicate long-term glucose control.
B. Hemoglobin levels relate to anemia, not glucose control.
C. Hemoglobin A1C level reflects the average blood glucose over the past 2-3 months, providing an excellent measure of long-term control.
D. Fingerstick fasting blood glucose level reflects glucose levels at the moment of testing, not long-term control.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Multiple abdominal drains increase infection risk.
B. Cellulitis poses a high risk of infection.
C. Viral pneumonia is contagious and poses a high infection risk.
D. Chronic heart failure does not pose an infection risk, making this the safest roommate choice.
Correct Answer is D
Explanation
A. Increasing IV fluids would exacerbate the client's fluid overload and worsen heart failure symptoms.
B. Trendelenburg positioning is typically used for shock management, but this client’s fluid overload needs to be addressed first.
C. Monitoring is important but does not address the immediate need to manage fluid overload.
D. The client's elevated CVP, PAWP, and BNP levels indicate fluid overload and heart failure with reduced ejection fraction. The priority is to reduce fluid overload by administering IV diuretics, which will help reduce the pressure in the heart and lungs, improving oxygenation and decreasing the risk of pulmonary edema.
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