The nurse is evaluating care provided to a patient with type 2 diabetes mellitus. Which data indicates that the patient is managing the disease process effectively?
Weight gain of 3 lbs. over the last 2 months
Eye doctor appointment scheduled for the following week
Hemoglobin A1c level 8.1%
Reddened area noted on the sole of the left foot
The Correct Answer is B
A. Incorrect → Weight gain (even if minor) can indicate poor glucose control, especially if linked to fluid retention or insulin resistance.
B. Regular ophthalmology exams are crucial for early detection of diabetic retinopathy, a leading cause of blindness in diabetes. Scheduling an eye appointment demonstrates proactive disease management.
C. Incorrect → A Hemoglobin A1c of 8.1% is above the target range (typically <7% for diabetics) and indicates poor blood glucose control over the past 2-3 months.
D. Incorrect → A reddened area on the sole of the foot suggests early signs of diabetic foot complications and possible neuropathy or poor circulation, requiring intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. 8:00 AM to 11:00 AM. – Incorrect. NPH insulin peaks in 6–14 hours, not within a few hours.
B. 2:00 PM to 5:00 PM. – Correct Answer. NPH insulin peaks around 6–14 hours, making this the most likely time for hypoglycemia.
C. 2:00 AM to 5:00 AM. – Incorrect. This would be the peak time for evening NPH insulin, not morning administration.
D. 10:00 PM to 12:00 AM. – Incorrect. NPH insulin does not peak this late when given in the morning.
Correct Answer is A
Explanation
A. A child with a sprained wrist is non-infectious and poses no risk to the immunocompromised leukemia patient.
B. Pneumonia is a contagious respiratory infection that poses a high risk.
C. Rheumatic fever can involve post-streptococcal infection risks.
D. A ruptured appendix increases the risk of infection due to peritonitis.
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