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 A
Explanation
A. Large soaking tub without a shower head: This poses a potential risk for injury. A large soaking tub can make it difficult for the client to safely enter and exit, increasing the risk of falls, especially after a total hip arthroplasty.
B. No stairs in the home: This is actually a positive finding, as having no stairs reduces the risk of falls and injury for the client during their recovery.
C. Elevated toilet seats: Elevated toilet seats are generally considered beneficial for clients recovering from hip surgery, as they make it easier to sit down and stand up, reducing strain on the hip.
D. Reclining chair with a straight back: This is also a positive finding. A reclining chair can provide comfort and support, and a straight back can promote proper posture during recovery.
Correct Answer is D
Explanation
A. Premature Infant Pain Profile (PIPP): This scale is specifically designed for assessing pain in preterm infants and may not be suitable for a newborn delivered at 38 weeks of gestation.
B. FACES pain rating scale: This scale is typically used for older children who can understand and relate to facial expressions, making it inappropriate for assessing pain in newborns.
C. Visual analog scale (VAS): This scale is also not suitable for newborns, as it requires the ability to understand and interpret a continuous scale, which newborns cannot do.
D. Neonatal Infant Pain Scale (NIPS): This is the most appropriate choice for assessing pain in a newborn. It evaluates indicators such as facial expression, cry, breathing patterns, and extremity movement, making it suitable for this age group and context.
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