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 D
Explanation
A) Increased calcium levels are typically not expected in clients with chronic kidney disease (CKD). In fact, CKD often leads to decreased calcium levels due to impaired renal function, which affects vitamin D metabolism and calcium absorption.
B) Increased bicarbonate levels would suggest a metabolic alkalosis, which is not common in CKD. Clients with CKD often experience metabolic acidosis due to the kidneys' inability to excrete hydrogen ions effectively, leading to decreased bicarbonate levels.
C) Increased hemoglobin levels are not expected in CKD; rather, clients often experience anemia due to decreased erythropoietin production by the kidneys. Therefore, hemoglobin levels are typically low in individuals with chronic kidney disease.
D) Increased creatinine is a hallmark finding in chronic kidney disease. It indicates a decline in kidney function, as creatinine is a waste product that is normally excreted by the kidneys. Elevated creatinine levels reflect the kidneys' reduced ability to filter and excrete waste, which is characteristic of CKD.
Correct Answer is C
Explanation
A) Apply petroleum jelly to soothe the mucous membranes: This is not advisable, as petroleum jelly is flammable and can pose a risk when using oxygen. Instead, a water-based lubricant is safer for mucous membranes.
B) Clean the equipment with an alcohol-based cleaning product: Alcohol is flammable and not recommended for cleaning oxygen equipment. Mild soap and water are more suitable for maintaining cleanliness.
C) Avoid using nail polish remover around the client: This is the correct answer. Nail polish remover often contains acetone, which is flammable and should be avoided in environments where oxygen is in use to prevent fire hazards.
D) Use synthetic fabrics for the client's bedding: This is incorrect. Natural fabrics like cotton are preferred because synthetic fabrics can create static electricity, increasing the risk of fire in the presence of oxygen.
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