The nurse in a clinic is reviewing laboratory results for a patient suspected of having undiagnosed diabetes mellitus. Which of the following results would be diagnostic for diabetes?
Hemoglobin A1C (glycosylated hemoglobin) of 7.2
Fasting plasma glucose of 98 mg/dl
Two-hour plasma glucose of 140 mg/dl.
Random plasma glucose of 110 mg/dl
The Correct Answer is A
A. Hemoglobin A1C of 7.2 is diagnostic for diabetes. An A1C of 6.5% or higher is diagnostic for diabetes, as it reflects the average blood glucose levels over the past 2-3 months.
B. Fasting plasma glucose of 98 mg/dl is within the normal range (70-99 mg/dl). A fasting plasma glucose of 126 mg/dl or higher is diagnostic for diabetes.
C. Two-hour plasma glucose of 140 mg/dl is within the normal range (less than 140 mg/dl after a glucose tolerance test). A two-hour plasma glucose of 200 mg/dl or higher is diagnostic for diabetes.
D. Random plasma glucose of 110 mg/dl is within the normal range. A random plasma glucose of 200 mg/dl or higher, along with symptoms of hyperglycemia, would be diagnostic for diabetes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Encouraging the client to void every 5-6 hours is not appropriate for preventing complications in chronic pyelonephritis. Regular voiding every 2-3 hours is recommended to prevent urinary stasis and bacterial growth.
B. Limiting fluid intake to 1.5L/day is counterproductive in chronic pyelonephritis, as it increases the risk of concentrated urine and urinary tract infections.
C. While decreasing sodium intake may be beneficial in other conditions, it is not directly relevant to managing chronic pyelonephritis. The focus is on maintaining adequate hydration.
D. Increasing fluid intake to at least 3 L/day helps dilute the urine, reduce bacterial concentration, and flush out the urinary system, which is essential for managing and preventing further episodes of pyelonephritis.
Correct Answer is D
Explanation
A. Administering furosemide (a diuretic) would worsen dehydration and is contraindicated in this scenario. The goal is to rehydrate the client, not to promote fluid loss.
B. Educating the client that oral fluids are not necessary is incorrect. Oral fluids are important for rehydration, and the client should be encouraged to drink fluids unless contraindicated.
C. Monitoring the client's weight once a week is not sufficient for assessing dehydration status. More frequent monitoring is needed to assess the effectiveness of treatment.
D. Monitoring the client's IV site and infusion is essential to ensure that the IV is patent, the fluid is being infused properly, and there are no complications such as infiltration or infection. This is a key aspect of nursing care for clients receiving IV fluids.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.