The nurse is aware that the diagnostic level of a fasting blood glucose for a client with diabetes is:

135 mg/dL of glucose.

140 mg/dL of glucose.

126 mg/dL of glucose.

145 mg/dL of glucose.

Answer and Explanation

The Correct Answer is C

Choice A rationale

A fasting blood glucose level of 135 mg/dL is above the diagnostic threshold for diabetes. However, it is not the exact threshold value.

Choice B rationale

A fasting blood glucose level of 140 mg/dL is significantly above the diagnostic threshold for diabetes.

Choice C rationale

A fasting blood glucose level of 126 mg/dL or higher on two separate tests indicates diabetes.

Choice D rationale

A fasting blood glucose level of 145 mg/dL is significantly above the diagnostic threshold for diabetes.

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Correct Answer is B

Explanation

Choice A rationale

Fewer doses of insulin may not necessarily be required with frequent self-monitoring of blood glucose. The need for insulin is determined by blood glucose levels, not the frequency of monitoring.

Choice B rationale

Frequent self-monitoring of blood glucose assists in gaining control over glucose levels. It can immediately tell you the effects of food choices, physical activity, and medication on blood glucose control.

Choice C rationale

While good blood glucose control can help minimize other health problems, frequent self- monitoring of blood glucose does not directly minimize other health problems.

Choice D rationale

Frequent self-monitoring of blood glucose is not necessarily the most cost-efficient method for glucose control. The cost efficiency depends on various factors, including the cost of testing supplies and the frequency of testing.

A. Changes to achieve low HDL and high LDL levels. B. Self-monitoring of blood glucose. C. Maintenance of a healthy weight. D. Utilizing carbohydrate counting to match insulin intake.

Correct Answer is C

Explanation

Choice A rationale

Changes to achieve low HDL and high LDL levels are not recommended. In fact, the opposite is desired. High levels of HDL (good cholesterol) and low levels of LDL (bad cholesterol) are beneficial for overall health and can help prevent cardiovascular complications associated with diabetes.

Choice B rationale

Self-monitoring of blood glucose is important for managing diabetes, but a fasting plasma glucose level of 118 mg/dL does not necessarily indicate the need for regular self-monitoring. This level is slightly elevated and may indicate prediabetes, but further testing would be needed for a definitive diagnosis.

Choice C rationale

Maintenance of a healthy weight is beneficial for everyone, but it’s particularly important for individuals with prediabetes or diabetes. Achieving and maintaining a healthy weight can help regulate blood glucose levels and prevent or delay the progression of prediabetes to diabetes.

Choice D rationale

Utilizing carbohydrate counting to match insulin intake is a strategy used in the management of diabetes. However, a fasting plasma glucose level of 118 mg/dL, while slightly elevated, does not necessarily indicate the need for insulin therapy or carbohydrate counting. Further testing would be needed to confirm a diagnosis of diabetes.

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The nurse is aware that the diagnostic level of a fasting blood glucose for a client with diabetes is:

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse explains to a patient diagnosed with diabetes mellitus that the major benefit of frequent self-monitoring of blood glucose is that:

Correct Answer is B

Explanation

Choice B rationale

Choice C rationale

Choice D rationale

A client undergoing screening for diabetes has a fasting plasma glucose level of 118 mg/dL. What should the nurse plan to educate the client about?

Correct Answer is C

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

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