The nurse notes that the HbA1c level of an assigned patient demonstrated a drop from 9.4% to 5.4%. What inference can best be made about this patient?
The patient is demonstrating improved control of hyperglycemia over the last several months.
The patient has less need for insulin.
The patient is experiencing a reduction in insulin sensitivity.
The patient has been less compliant with the prescribed treatment regimen.
The Correct Answer is A
A. The patient is demonstrating improved control of hyperglycemia over the last several months: The HbA1c level reflects the average blood glucose level over the past 2-3 months. A drop from 9.4% to 5.4% indicates a significant improvement in blood sugar control.
B. The patient has less need for insulin: A drop in HbA1c indicates improved blood sugar control, but it doesn't directly indicate that the patient has reduced insulin needs. Insulin requirements can still vary depending on the individual’s treatment plan and overall health.
C. The patient is experiencing a reduction in insulin sensitivity: Improved control of hyperglycemia (as evidenced by the drop in HbA1c) suggests better insulin sensitivity, not a reduction. Insulin sensitivity typically improves with better glucose control.
D. The patient has been less compliant with the prescribed treatment regimen: A lower HbA1c suggests better compliance with treatment; usually indicates successful management of blood glucose levels, which often results from adhering to the prescribed regimen.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["200"]
Explanation
Total volume to be infused = 100 mL.
Infusion time in minutes = 30 minutes.
- Convert the infusion time from minutes to hours.
Infusion time in hours = 30 minutes / 60 minutes/hour
= 0.5 hours.
- Calculate the flow rate in milliliters per hour (mL/hr).
Flow rate (mL/hr) = Total volume (mL) / Infusion time (hr)
= 100 mL / 0.5 hr
= 200 mL/hr.
Correct Answer is A
Explanation
A. Turn the patient on his side: After administering glucagon to treat severe hypoglycemia, the nurse should turn the patient to their side to prevent aspiration if the patient vomits as they regain consciousness. This is a preventive measure to protect the airway until he wakes up.
B. Administer a second dose of glucagon: Glucagon is usually given once in emergency situations to treat severe hypoglycemia. A second dose is not needed unless the patient remains unresponsive after 15 minutes, but the priority action is to monitor the patient closely after the first dose.
C. Prepare for intubation: There is no immediate evidence suggesting the need for intubation. Jacob’s respiratory rate (12/min) and oxygen saturation (96%) are within reasonable limits. The priority is to monitor his response to glucagon and keep the airway clear.
D. Give a high-protein snack: A high-protein snack should only be given after the patient is awake and alert and able to swallow safely. The immediate priority is to ensure the patient’s safety and monitor their response to glucagon.
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