A nurse in a provider's office is monitoring the laboratory results of a client who has type 1 diabetes mellitus.
Which of the following results indicates that the client demonstrates acceptable glycemic control?

Random plasma glucose 176 mg/dL.

Triglycerides 182 mg/dL.

HbA1c 6.8%.

Fasting blood glucose 120 mg/dL.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

A random plasma glucose level of 176 mg/dL indicates high blood sugar at the time of the test. Random glucose levels are not ideal for assessing glycemic control as they can vary based on recent food intake and stressors.

Choice B rationale:

Triglyceride levels are not used to assess glycemic control. They measure the amount of triglycerides in the bloodstream and are related to lipid metabolism, not glucose control.

Choice C rationale:

HbA1c (glycated hemoglobin) is a long-term measure of blood glucose control. An HbA1c level of 6.8% indicates acceptable glycemic control in a person with diabetes. The normal range for HbA1c is typically less than 6.5%. This test reflects the average blood sugar level over the past 2-3 months, giving a better understanding of overall glucose control.

Choice D rationale:

Fasting blood glucose of 120 mg/dL is slightly elevated. While fasting blood glucose levels below 100 mg/dL are generally considered normal, levels between 100-125 mg/dL are considered prediabetic, and levels above 126 mg/dL on two separate occasions indicate diabetes. The result provided falls within the prediabetic range but does not indicate optimal glycemic control.

Nursing Test Bank

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Correct Answer is C

Explanation

Choice A rationale:

Providing postmortem care for a client who has recently died does not require immediate intervention by the charge nurse, as it is a standard nursing responsibility to provide postmortem care with dignity and respect to the deceased client. The AP can proceed with this task independently.

Choice B rationale:

Performing a simple dressing change on a client's foot is within the scope of practice for an assistive personnel (AP) and does not require immediate intervention by the charge nurse, assuming the AP is competent and trained to perform this task.

Choice C rationale:

Washing hands with alcohol-based hand rub after bathing a client who has Clostridium difficile is not sufficient. Alcohol is not effective against C. Difficile spores.

Choice D rationale:

Clean gloves are sufficient for this task, as they do provide adequate protection against the transmission of infections.

A. Firmly massage the uterine fundus B. Provide emotional support C. Administer oxygen D. Weigh the perineal pads E. Insert indwelling urinary catheter

Correct Answer is ["A","B","C","D","E"]

Explanation

A. Firmly massaging the uterine fundus helps promote uterine contraction and reduce postpartum hemorrhage.
B. Providing emotional support helps address the client’s anxiety and distress.
C. Administering oxygen supports tissue perfusion, especially as the client is showing signs of hypovolemic shock.
D. Weighing perineal pads helps quantify blood loss and assess the severity of hemorrhage.
E. Inserting an indwelling urinary catheter ensures accurate output measurement and prevents bladder distension, which can interfere with uterine contraction.

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A nurse in a provider's office is monitoring the laboratory results of a client who has type 1 diabetes mellitus.Which of the following results indicates that the client demonstrates acceptable glycemic control?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is observing an assistive personnel perform delegated tasks. Which of the following actions by the AP requires the charge nurse to intervene?

Correct Answer is C

Explanation

Correct Answer is ["A","B","C","D","E"]

Explanation

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A nurse in a provider's office is monitoring the laboratory results of a client who has type 1 diabetes mellitus.
Which of the following results indicates that the client demonstrates acceptable glycemic control?