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 A
Explanation
A. Intermittent claudication is characterized by cramping pain in the legs during physical activity, such as walking, due to insufficient blood flow, typically caused by peripheral arterial disease (PAD). This statement aligns with the symptoms of claudication.
B. Shortness of breath during physical exertion is more indicative of cardiovascular or pulmonary issues, not intermittent claudication.
C. Swelling in the feet from standing for extended periods is more consistent with venous insufficiency rather than intermittent claudication.
D. Pain in the fingers due to cold weather suggests Raynaud’s phenomenon, not intermittent claudication.
Correct Answer is C
Explanation
A. Neurologic status is important to monitor but is not directly related to evaluating calcium gluconate's effect on hyperkalemia.
B. Urine volume would not directly reflect the immediate effects of calcium gluconate in managing hyperkalemia.
C. Calcium gluconate is given to protect the heart from the effects of hyperkalemia by stabilizing the cardiac membrane. Monitoring the cardiac rhythm is essential to assess the effectiveness of the treatment.
D. The calcium level is relevant for monitoring the calcium treatment, but cardiac rhythm is a more immediate indicator of its effectiveness.
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