An elderly patient is hospitalized with several problems. His medical history includes uncontrolled hypertension and Type II diabetes mellitus (DM). A HbA1c is measured This laboratory test measures the

percentage of glycosylated hemoglobin molecules that spill into the urine.

percentage of glycosylated hemoglobin molecules carried by RBCs.

effect of hypertension on RBCs over a long period of time.

effect of insulin on the ability of hemoglobin to bond with glucose.

Answer and Explanation

The Correct Answer is B

A. His body does not produce any insulin so he must receive insulin injections: Type I diabetes is characterized by the destruction of pancreatic beta cells, resulting in little to no insulin production. Therefore, insulin must be administered via injection to replace the insulin the body cannot produce.

B. The pills are not as effective as the insulin injections: While this might be partially true for Type I diabetes, it is not the complete answer. Oral medications are generally not effective in Type I diabetes because they stimulate the pancreas to produce insulin, which is not possible in these patients.

C. He will only be on insulin injections for a short while, then he can take a pill: This is incorrect. Type I diabetes requires lifelong insulin therapy.

D. He can stop the insulin injections once his body begins to make insulin again: This is incorrect as Type I diabetes is a permanent condition where the body cannot produce insulin.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Decrease osteoclastic activity: Osteoporosis treatments often focus on reducing osteoclastic activity, which is responsible for bone resorption, thereby helping to maintain or increase bone density.

B. Increase the kidneys' tubular secretion of calcium into the urine: This would decrease calcium levels in the body, which is not desired in osteoporosis treatment, as it would worsen bone density.

C. Increase resorption of calcium: Increasing bone resorption would exacerbate osteoporosis by weakening the bones further.

D. Suppress calcitonin: Calcitonin helps to inhibit bone resorption, so suppressing it would be counterproductive in treating osteoporosis.

A. high unconjugated low direct B. high conjugated: high direct C. high direct: high unconjugated. D. low indirect: normal unconjugated.

Correct Answer is B

Explanation

A. High unconjugated, low direct: In liver disease, both conjugated (direct) and unconjugated bilirubin levels are typically elevated.

B. High conjugated, high direct: In cirrhosis and alcoholic liver disease, the liver's ability to process bilirubin is impaired, leading to elevated levels of both conjugated (direct) and unconjugated bilirubin, causing jaundice.

C. High direct, high unconjugated: Both direct (conjugated) and unconjugated bilirubin levels are elevated, but this does not clarify the direct relationship with jaundice.

D. Low indirect, normal unconjugated: In liver disease, bilirubin levels are elevated, not low or normal.

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An elderly patient is hospitalized with several problems. His medical history includes uncontrolled hypertension and Type II diabetes mellitus (DM). A HbA1c is measured This laboratory test measures the

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Naxlex Comprehensive Predictor Exams

In general, therapeutic interventions for a patient with osteoporosis will probably include drugs that

Correct Answer is A

Explanation

A man, diagnosed with alcoholic liver disease and cirrhosis, presents to his healthcare provider for treatment. The nurse notes that his skin and sclera are jaundiced. While reviewing his laboratory data, the nurse should expect to find a serum bilirubin level and a serum bilirubin level.

Correct Answer is B

Explanation

A patient is admitted to the emergency department (ED) following an overdose of acetaminophen (Tylenol) and is diagnosed with cirrhosis. Which laboratory finding is consistent with the diagnosis?

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