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. Patients with DKA are severely dehydrated due to osmotic diuresis caused by hyperglycemia. Rapid fluid resuscitation with normal saline (0.9% sodium chloride) is crucial to correct fluid and electrolyte imbalances.
B. Insulin Glargine is a long-acting insulin not suitable for acute management of DKA. Rapid-acting insulin, such as regular insulin, is used in an IV infusion.
C. Glucose is not added to the IV infusion during the initial phase of DKA treatment. The focus is on correcting fluid and electrolyte imbalances and lowering blood glucose with insulin.
D. 3% sodium chloride is a hypertonic solution used in specific circumstances, not for initial fluid resuscitation in DKA.

A. DVT B. Hypoglycemia C. Hyperglycemia D. Delayed anxiety

Correct Answer is B

Explanation

A. Symptoms of DVT typically include pain, swelling, and redness in the affected leg, not sweating and tachycardia.
B. Given the patient's NPO status since midnight, the prolonged fasting coupled with the stress of surgery can lead to low blood sugar. Symptoms of hypoglycemia include sweating, tachycardia, and hunger.
C. Symptoms of hyperglycemia usually include increased thirst, frequent urination, and fatigue, not sweating and tachycardia.
D. While anxiety can cause some physical symptoms, sweating and tachycardia are more characteristic of hypoglycemia in this context.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record for a client who is to begin therapy for DKA. Which of the following prescriptions should the nurse expect?

Correct Answer is A

Explanation

Correct Answer is B

Explanation

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