In an outpatient diabetic clinic, the nurse is assessing clients. Which entry provides the best indication that the client is adhering to the prescribed diabetic regimen?

Hemoglobin A1C of 6.2%.

Fasting plasma glucose of 189 mg/dL (10.49 mmol/L).

High-density lipoprotein of 40 mg/dL (1.03 mmol/L).

Postprandial plasma glucose of 225 mg/dL (12.49 mmol/L).

Answer and Explanation

The Correct Answer is A

Choice A reason: This is the correct choice. A Hemoglobin A1C level of 6.2% is within the target range for most adults with diabetes and indicates good blood sugar control over the past 2 to 3 months.
Choice B reason: A fasting plasma glucose of 189 mg/dL is above the target range for fasting blood sugar levels, indicating that the client may not be adhering to the diabetic regimen.
Choice C reason: While an HDL of 40 mg/dL is at the lower limit of the normal range, it does not provide direct information about blood sugar control.
Choice D reason: A postprandial plasma glucose of 225 mg/dL is above the target range for after-meal blood sugar levels, suggesting that the client's diabetes is not well-controlled.

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Correct Answer is B

Explanation

Choice A reason: An elevated white blood count (WBC) is not typically a side effect of chemotherapy; in fact, chemotherapy often leads to a decreased WBC count.
Choice B reason: This is the correct choice. Bone marrow suppression is a common side effect of chemotherapy, leading to a decreased production of blood cells and necessitating precautions to prevent infection.
Choice C reason: T-cell mediated hypersensitivity is not a common side effect of chemotherapy that would dictate the type of precautions needed.
Choice D reason: Stomatitis is a possible side effect of chemotherapy, but it does not primarily determine the type of precautions required as bone marrow suppression does.

A. Recent streptococcal infection. B. Low-grade fever. C. Dry, peeling skin and patchy rash. D. Conjunctivitis with exudates.

Correct Answer is C

Explanation

Choice A reason: A recent streptococcal infection is not a symptom of Kawasaki disease.
Choice B reason: Kawasaki disease typically presents with a high fever, not a low-grade fever.
Choice C reason: This is the correct choice. Dry, peeling skin and a patchy rash are common symptoms of Kawasaki disease.
Choice D reason: Conjunctivitis in Kawasaki disease typically does not have exudates.

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In an outpatient diabetic clinic, the nurse is assessing clients. Which entry provides the best indication that the client is adhering to the prescribed diabetic regimen?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is C

Explanation

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