Your patient asks you what the purpose of the Hgb A1C test is. The BEST answer is:

It tells us your average blood Sugar levels over the last 4 months

It tells us if your pancreas is producing the hormone insulin

It tells us your blood sugar levels without regard to your last food intake

It tells us how much sugar you have been eating over the last few months

Answer and Explanation

The Correct Answer is A

A.   The Hgb A1c test provides a snapshot of your average blood sugar levels over the past 2-3 months.
B.   The Hgb A1c test does not measure insulin production. It measures the amount of glucose attached to hemoglobin in red blood cells.
C.   While the Hgb A1c test is not affected by recent food intake, it doesn't provide a snapshot of your current blood sugar level. It reflects an average over several months.
D.   The Hgb A1c test measures blood sugar levels, not directly sugar intake. While diet affects blood sugar, the test does not isolate sugar consumption.

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Correct Answer is B

Explanation

A. This is not a typical complication of SIADH. In fact, patients with SIADH often retain fluid.
B. SIADH leads to excessive water retention, which dilutes the sodium concentration in the blood, causing hyponatremia.
C. This is opposite to what happens in SIADH. Patients with SIADH actually produce less urine.
D. While this can be a sign of low blood pressure, it's not specifically related to SIADH.

A. Blood transfusion and hourly blood sugar checks B. Blood sugar checks every 4 hours and subcutaneous sliding scale Insulin C. TPN D. IV Regular Insulin, Continuous IV fluid administration with an Isotonic solution

Correct Answer is D

Explanation

A. Blood transfusions are not indicated for DKA unless there's severe anemia, which is not a common presentation.
B. Blood sugar checks every 4 hours and subcutaneous sliding scale Insulin are not appropriate for the severe hyperglycemia and dehydration present in DKA.
C. TPN is not necessary as the patient can tolerate oral intake once stabilized.
D. Continuous IV fluid administration is essential to correct dehydration and electrolyte imbalances, which are common in DKA. Isotonic solutions like normal saline or lactated Ringer's are typically used.

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Your patient asks you what the purpose of the Hgb A1C test is. The BEST answer is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is a likely potential serious complication in patients diagnosed with SIADH?

Correct Answer is B

Explanation

Your female patient with Type 1 Diabetes was brought into the Emergency Room because the family states she had been weak and fatigued after getting sick a couple of days ago. The patient is diagnosed with DKA. What do you anticipate will be ordered to treat this condition?

Correct Answer is D

Explanation

All of the following are common signs/symptoms of Hyperglycemia?

You are caring for a patient with a new diagnosis of Diabetes Mellitus Type 1. The patient is upset and states "How could this happen? I eat a vegan diet and get plenty of exercise". What is your BEST response?

You are an RN in a busy Emergency Department. A patient comes in with Type 2 Diabetes Mellitus. Which of the following signs and symptoms would you NOT expect the patient to report experiencing?

A nurse is caring for a client 2 hours after admission. The client has an SpO2 of 91%, exhibits audible wheezes, and is using accessory muscles when breathing. Which of the following classes medications should the nurse expect to administer?

Hospital policy is that any new patient admitted to the hospital will have their blood checked for their Hgb A1C level. Your patient's blood was drawn, and the lab calls you to report that their Hgb A1C level is 5.4. This level is:

Your patient states that he experiences chest pain that increases with activity and decreases with rest. He is most likely describing which type of Angina?

You are teaching your COPD patient the proper technique for pursed-lip breathing. Which of the following would BEST demonstrate effective technique?

A nurse is reviewing the medical record for a client who is to begin therapy for DKA. Which of the following prescriptions should the nurse expect?