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 A

Explanation

Choice A reason: This is the correct choice. Hypopituitarism often results in short stature due to a deficiency in growth hormone.
Choice B reason: Precocious puberty is not typically associated with hypopituitarism; it is more often related to excess hormone production.
Choice C reason: Progressive linear growth retardation after normal growth in the first five years is not characteristic of hypopituitarism.
Choice D reason: While stunted growth can occur, hypopituitarism specifically affects height due to growth hormone deficiency, and weight may not be equally affected.

A. Note the frequency of drooling. B. Observe the appearance of oral mucosa. C. Assess patterns of speech. D. Determine the ability to chew and swallow.

Correct Answer is D

Explanation

Choice A reason: While noting the frequency of drooling is important, it is not the most critical assessment.
Choice B reason: Observing the appearance of oral mucosa is less critical than assessing the ability to swallow.
Choice C reason: Assessing speech patterns is important but secondary to swallowing ability in terms of immediate safety.
Choice D reason: This is the correct choice. The ability to chew and swallow is crucial for preventing aspiration and maintaining nutrition.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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