A nurse is reinforcing teaching about HbA1c with a client who has type 1 diabetes mellitus.
Which of the following information should the nurse include?

An HbA1c value greater than 8% indicates diabetic control of blood sugar.

The HbA1c value is altered by eating habits the day before the test.

The HbA1c value determines long-term blood glucose control for the past 120 days.

An HbA1c test is performed once per year.

Answer and Explanation

The Correct Answer is C

The HbA1c value determines long-term blood glucose control for the past 120 days. This is because the HbA1c test measures what percentage of hemoglobin proteins in your blood are coated with sugar (glycated). Hemoglobin proteins in red blood cells live for around 120 days, so the test reflects your average blood sugar level for the past two to three months.

Choice A is wrong because an HbA1c value greater than 8% indicates poor diabetic control of blood sugar. The HbA1c target for most people with type 1 diabetes is 48 mmol/mol (or 6.5%) or lower.

Choice B is wrong because the HbA1c value is not altered by eating habits the day before the test. The test does not require fasting and can be done at any time of the day.

Choice D is wrong because an HbA1c test should be performed more than once per year.

The frequency of the test depends on the type of diabetes, your treatment plan and your blood sugar level. For example, you may need the test twice a year if you have good blood sugar control, or four times a year if you take insulin or have trouble keeping your blood sugar level within your target range.

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Correct Answer is A

Explanation

Contact information for a community mental health center. A community mental health center can provide ongoing outpatient care and support services for a client who has schizophrenia after discharge from an inpatient unit. A community mental health center can also help the client access other resources such as medication, housing, and vocational training.

Choice B is wrong because a list of primary prevention activities is not relevant for a client who already has schizophrenia. Primary prevention aims to prevent the occurrence of a disease or disorder in the first place.

Choice C is wrong because contact information for enrollment in a 12-step program is not appropriate for a client who has schizophrenia unless they also have a substance use disorder. A 12-step program is a self-help group that follows a set of principles to achieve and maintain sobriety.

Choice D is wrong because a referral for respite care services is not necessary for a client who has schizophrenia unless they also have a caregiver who needs temporary relief from their caregiving duties. Respite care services provide short-term care for clients who are dependent on others for their daily needs.

A. Expect palpitations for 2 days. B. Change positions slowly. C. Take the medication on an empty stomach. D. Increase calorie intake to minimize weight loss.

Correct Answer is B

Explanation

Verapamil is a calcium channel blocker that can lower blood pressure and cause dizziness or fainting, especially when standing up from a sitting or lying position. Changing positions slowly can help prevent these symptoms.

Choice A is wrong because palpitations are not an expected side effect of verapamil, but rather a sign of a possible overdose or a serious heart problem that requires medical attention.

Choice C is wrong because verapamil should be taken with food or milk to avoid stomach upset and increase absorption.

Choice D is wrong because verapamil does not cause weight loss, but rather weight gain as a possible side effect.

Increasing calorie intake is not necessary and may worsen other health conditions such as diabetes or high cholesterol.

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A nurse is reinforcing teaching about HbA1c with a client who has type 1 diabetes mellitus. Which of the following information should the nurse include?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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A nurse is reinforcing teaching about HbA1c with a client who has type 1 diabetes mellitus.
Which of the following information should the nurse include?