A nurse is checking the laboratory results of a client who is at risk for diabetes mellitus. Which of the following laboratory results indicates to the nurse that the client is at risk for diabetes mellitus?
2-hr blood glucose 132 mg/dL.
HbA1c 5.2%.
Casual blood glucose 178 mg/dL.
Fasting blood glucose 155 mg/dL. .
The Correct Answer is D
Choice A rationale
A 2-hour blood glucose level of 132 mg/dL is below the threshold for diabetes diagnosis, which is 200 mg/dL or higher.
Choice B rationale
An HbA1c level of 5.2% is within the normal range. Diabetes is diagnosed with an HbA1c of 6.5% or higher.
Choice C rationale
A casual blood glucose level of 178 mg/dL is elevated but not diagnostic of diabetes. Diabetes is diagnosed with a casual blood glucose level of 200 mg/dL or higher.
Choice D rationale
A fasting blood glucose level of 155 mg/dL is above the threshold for diabetes diagnosis, which is 126 mg/dL or higher. This indicates that the client is at risk for diabetes mellitus.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
A 2-hour blood glucose level of 132 mg/dL is below the threshold for diabetes diagnosis, which is 200 mg/dL or higher.
Choice B rationale
An HbA1c level of 5.2% is within the normal range. Diabetes is diagnosed with an HbA1c of 6.5% or higher.
Choice C rationale
A casual blood glucose level of 178 mg/dL is elevated but not diagnostic of diabetes. Diabetes is diagnosed with a casual blood glucose level of 200 mg/dL or higher.
Choice D rationale
A fasting blood glucose level of 155 mg/dL is above the threshold for diabetes diagnosis, which is 126 mg/dL or higher. This indicates that the client is at risk for diabetes mellitus.
Correct Answer is D
Explanation
Choice A rationale
Administering the medication with each meal is incorrect. Clopidogrel can be taken with or without food, and there is no specific requirement to administer it with each meal. The primary concern with clopidogrel is monitoring for signs of bleeding.
Choice B rationale
Initiating contact precautions is incorrect. Clopidogrel is an antiplatelet medication and does not require contact precautions. Contact precautions are typically used for infections that can be transmitted through direct or indirect contact.
Choice C rationale
Having suction equipment at the bedside is incorrect. Suction equipment is not necessary for clients taking clopidogrel. The primary concern with clopidogrel is monitoring for signs of bleeding, not respiratory issues.
Choice D rationale
Monitoring the client for black, tarry stools is correct. Clopidogrel increases the risk of bleeding, and black, tarry stools can be an indication of gastrointestinal bleeding. It is important to monitor for this adverse effect to ensure the client’s safety.
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