Regarding Hgb A1C lab results. Which of the following statements are TRUE? <Select all that apply>

A low Hgb A1C means that the patient is hypoglycemic, and should drink grape juice

A Hgb A1C value of greater than 6.5 indicates the patient is likely Diabetic

A Hgb A1C result reveals the patient's average blood sugar over the last few months

A Hgb A1C value of less than 5.7 is normal

The Hgb A1C value is often used to monitor the effectiveness of treatment for a Diabetic patient

Answer and Explanation

Correct Answer : B,C,D,E

A.   A low Hgb A1C means that the patient is hypoglycemic, and should drink grape juice. This is incorrect. A low Hgb A1C indicates good blood sugar control, not hypoglycemia.
B.   An A1C of 6.5% or higher is diagnostic of diabetes
C.   Hgb A1C result reveals the patient's average blood sugar over the last few months.
D.   A Hgb A1C value of less than 5.7 is normal.
E.   The Hgb A1C value is often used to monitor the effectiveness of treatment for a Diabetic patient.

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Correct Answer is A

Explanation

A. A random blood glucose level greater than 200 mg/dL suggests diabetes. However, it's important to note that this is not a definitive diagnosis and often requires further testing, such as a fasting blood glucose test or an oral glucose tolerance test.
B. <100 is a normal range for a fasting blood glucose test, not a random one.
C. <10 is an abnormally low blood glucose level, indicating hypoglycemia.
D. >100 range is too broad to determine if diabetes is likely.

A. "I will ask my son to push the button if I look like I am uncomfortable while sleeping" B. "I'll be careful about pushing the button too much so I don't get an overdose" C. "I should tell the nurse if the pain doesn't go away after I have used the device" D. “I'll wait to use the device until it's absolutely necessary"

Correct Answer is C

Explanation

A. The patient should be the only one to control the PCA pump. This is to prevent overmedication and to ensure the patient is in control of their pain management.
B. While it's important to use the PCA responsibly, the device is designed to prevent overdose. It has built-in safeguards to limit the amount of medication delivered.
C. This statement indicates that the patient understands the importance of communicating with the nurse about pain management. If the PCA is not effectively controlling pain, the nurse needs to be notified to adjust the medication or explore other options.
D. The PCA is designed to be used proactively to manage pain, not reactively when pain is severe. Waiting until pain is unbearable can make it more difficult to control.

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Regarding Hgb A1C lab results. Which of the following statements are TRUE? <Select all that apply>

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Naxlex Comprehensive Predictor Exams

For a patient who is taking a Casual (Random) blood glucose test, what value is considered to indicate they likely have Diabetes?

Correct Answer is A

Explanation

A nurse is caring for a patient who is receiving Morphine via a patient-controlled analgesic (PCA) infusion device after knee surgery. Which of the following patient statements indicates that the client understands how to use this device?

Correct Answer is C

Explanation

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