A nurse is providing teaching to a client who has diabetes mellitus about the glycosylated hemoglobin blood test. Which of the following statements by the client indicates an understanding of this test?
"I will use the results of this test daily to modify my insulin dosage."
"I will need to drink a glucose solution to get an accurate result."
"I will use this test to monitor how well I control my blood glucose levels."
"I will need to fast prior to taking this test."
The Correct Answer is C
A) Using the results of the glycosylated hemoglobin (HbA1c) test daily to modify insulin dosage is not accurate. The HbA1c reflects average blood glucose levels over the past 2-3 months and is not intended for immediate adjustments to insulin therapy.
B) Drinking a glucose solution is not necessary for the HbA1c test. This test measures the percentage of hemoglobin that is glycated and does not require any specific preparation like glucose ingestion.
C) Using this test to monitor how well blood glucose levels are controlled is accurate. The HbA1c test provides a long-term view of blood glucose control, helping both the client and healthcare provider assess the effectiveness of diabetes management strategies over time.
D) Fasting is not required prior to the HbA1c test. Unlike other glucose tests, the HbA1c can be performed at any time without fasting, making it a convenient option for ongoing monitoring.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Direct anyone who becomes angry to leave the room: This approach can escalate tensions and does not promote open communication. It might further alienate team members rather than helping to resolve the conflict.
B. Facilitate discussion until all parties agree: This is an effective mediation strategy. By facilitating open dialogue, the nurse manager allows all parties to express their viewpoints, which can lead to understanding and resolution of the conflict.
C. Establish demands from each party that allow for negotiations: While negotiating demands can be part of conflict resolution, focusing solely on demands might not address underlying issues or foster collaboration among team members.
D. Determine who is at fault in the situation: Focusing on blame can create a hostile environment and does not contribute to a constructive resolution. It is more effective to focus on the issues at hand and how to move forward rather than assigning fault.
Correct Answer is C
Explanation
A) Encourage the client to spend time in the dayroom: While social interaction can be beneficial, a client experiencing mania may become overstimulated in a busy environment. This intervention may not be appropriate if it increases anxiety or agitation.
B) Place the client in seclusion when he exhibits signs of anxiety: Seclusion should be a last resort and is not an appropriate first-line intervention. Instead, the focus should be on therapeutic approaches that promote safety and reduce anxiety without resorting to restrictive measures.
C) Encourage the client to take frequent rest periods: This is a crucial intervention for a client experiencing mania, as it can help manage symptoms and prevent exhaustion. Encouraging rest periods allows the client to regain some control and reduces the risk of overwhelming stimulation.
D) Withdraw the client's TV privileges if he does not attend group therapy: Using punitive measures such as withdrawing privileges is not therapeutic and can exacerbate feelings of rejection or frustration. A supportive approach is more effective in encouraging participation in therapy rather than implementing consequences.
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