A home health nurse is reviewing treatment goals with a client who has diabetes mellitus.
The nurse should evaluate which of the following laboratory tests to determine effective long- term management of blood glucose levels?

A.

A. Gastroenteritis can lead to dehydration and electrolyte imbalances, which can cause lethargy and confusion. This indicates a potentially serious condition requiring immediate attention.

B. While cystic fibrosis requires management, the symptoms described (thick, productive cough and thirst) are not immediately life-threatening.

C. Sickle cell anemia pain is significant but may not require immediate intervention if the client has just received analgesia and is being monitored.

D. While a morning fasting capillary glucose of 185 mg/dL is elevated in a client with diabetes mellitus, it does not require immediate intervention unless accompanied by symptoms of hyperglycemia such as confusion or lethargy.

A. Allowing the infant to suck on a pacifier during tube feedings can lead to aspiration or choking and is not recommended.

B. Placing enough formula for 12 hours in the feeding container may lead to formula spoilage and contamination, as formula should be prepared fresh for each feeding.

C. Changing the tube feeding setup every 36 hours is not typically necessary unless there are signs of contamination or malfunction. The frequency of changing the setup should be based on institutional policies and manufacturer recommendations.

D. Flushing the tube with water before and after feedings helps ensure proper hydration and prevents tube blockage. A volume of 30 mL is commonly recommended for infants.