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).
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: It is crucial to assess for fever, as a fever over 100°F after exposure to the flu may indicate an active infection, necessitating the postponement of immunizations.
Choice B reason: Administering vaccinations without assessing the child's health status, especially after known exposure to the flu, could be risky.
Choice C reason: Giving only the flu vaccination ignores the potential risk of the infant currently incubating the flu virus, which could be exacerbated by vaccination.
Choice D reason: While withholding all vaccinations is a cautious approach, it is not necessary unless the infant shows signs of illness, such as a fever over 100°F.
Correct Answer is C
Explanation
Choice A reason: Maintaining the child NPO is not necessary unless there are other medical reasons for doing so.
Choice B reason: Encouraging fluids is contraindicated in SIADH as it can exacerbate fluid overload.
Choice C reason: This is the correct choice. Fluid restriction is a key component of managing SIADH to prevent further dilutional hyponatremia.
Choice D reason: Turning frequently is important for all hospitalized patients to prevent pressure ulcers but is not specific to the management of SIADH.
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