The nurse is reviewing the hemoglobin A1C (HgbA1C) results that showed 6.9% with a client who has diabetes mellitus. The client asked the nurse what the result means. Which of the following statements by the nurse is correct?

"Your HgbA1C indicates the need for better dietary control."

"Your HgA1C indicates the need for more insulin."

"Your HgbA1C indicates the need for an insulin pump."

"Your HgbA1C indicates good glycemic control"

Answer and Explanation

The Correct Answer is A

A. The HgbA1C result of 6.9% is slightly above the recommended target of less than 7% for many people with diabetes. While it may be an improvement compared to higher levels, it indicates that better dietary control (such as managing carbohydrate intake, portion sizes, and meal timing) and possibly more rigorous lifestyle modifications are needed to bring the blood sugar levels within optimal range.
B. While insulin adjustments may be necessary for some individuals, an HgbA1C of 6.9% does not immediately suggest the need for more insulin. The decision to increase insulin depends on the individual’s specific needs, blood glucose patterns, and current treatment plan.
C. An HgbA1C of 6.9% is not an indication that an insulin pump is necessary. Insulin pumps are used for specific situations where more precise insulin delivery is needed or for people who have difficulty managing diabetes with multiple daily injections. The need for an insulin pump is not typically based on a single HgbA1C result.
D. While a result of 6.9% is relatively close to the target goal for many people with diabetes, it is slightly above the ideal target of <7%. This result suggests that while the client’s blood sugar is somewhat controlled, there is room for improvement to achieve optimal control.

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Correct Answer is B

Explanation

A. Bedtime snacks are often recommended for clients using insulin to help prevent nighttime hypoglycemia, especially if they are taking insulin that has a peak action during the night (e.g., NPH insulin).
B. The timing of food intake should not necessarily coincide with the peak action of the insulin. For example, rapid-acting insulins should be given around meal times, but the timing of food isn't strictly tied to the insulin peak. It's more important to match the insulin to meal timing to help with glucose control.
C. When mixing NPH (a longer-acting insulin) and regular insulin (a shorter-acting insulin), the correct technique is to draw up the regular insulin first to avoid contamination of the regular insulin with the NPH insulin, which is cloudy.
D. Educating clients about the signs, symptoms, and management of hypoglycemia is essential to safe insulin therapy.

A. dextrose B. acetaminophen (Tylenol) C. propranolol (Inderal) D. potassium iodide (SSKI)

Correct Answer is C

Explanation

A. Dextrose is used to treat hypoglycemia (low blood sugar), and there is no indication from the vital signs provided that the client is hypoglycemic.
B. Acetaminophen is an antipyretic (fever reducer), but the priority is not to treat the fever immediately in this case. The client's blood pressure and heart rate need to be addressed first.
C. Propranolol is a beta-blocker that can help reduce both heart rate and blood pressure. The client has severe hypertension (200/110) and tachycardia (heart rate of 160), which may indicate a hypertensive crisis or severe adrenergic overactivity. Propranolol can help lower the heart rate and blood pressure quickly, which is crucial to avoid further cardiovascular complications.
D. Potassium iodide is used in cases of thyroid storm or exposure to radioactive iodine. It is not appropriate for this situation, as the symptoms do not indicate a thyroid emergency or radiation exposure.

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The nurse is reviewing the hemoglobin A1C (HgbA1C) results that showed 6.9% with a client who has diabetes mellitus. The client asked the nurse what the result means. Which of the following statements by the nurse is correct?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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