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 ["2"]
No explanation
Correct Answer is D
Explanation
A. Determine the need for additional providers: While nurses can assess patient needs, determining the need for additional providers is typically a responsibility of management or command staff in a disaster situation.
B. Act as a spokesperson to provide information to the media: This role is generally assigned to a designated communications officer or public relations personnel, not a unit nurse, as media interactions require specific training and authorization.
C. Decide which clients should be transported for a higher level of care: This decision usually involves a multidisciplinary team and is not solely the responsibility of a unit nurse. It often requires input from physicians and administrative personnel.
D. Recommend to the provider a list of clients for early discharge: This is a responsibility that falls within the scope of a unit nurse's duties during a disaster. Nurses can assess their patients' conditions and recommend which patients may be stable enough for early discharge to make room for more critical cases.
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