A nurse is reinforcing teaching about the purpose of the HbA1c test with an adolescent who has type 1 diabetes mellitus. Which of the following statements by the adolescent indicates an understanding of the teaching?
"This test checks for ketones in my urine."
"This test measures the amount of hemoglobin in my blood."
"This test tells me how much oxygen my body is carrying."
"This test checks my blood sugar over the last few months.”
The Correct Answer is D
A. The HbA1c test does not check for ketones in urine. Ketone testing is separate and used to assess for diabetic ketoacidosis or inadequate insulin use, not for monitoring long-term blood glucose control.
B. While the HbA1c test involves hemoglobin, it does not measure the total amount of hemoglobin in the blood. Instead, it reflects the percentage of hemoglobin that has glucose attached to it over a period of time.
C. The HbA1c test does not measure oxygen levels in the blood. It specifically measures the average blood glucose level over a 2-3 month period by assessing the percentage of glucose-bound hemoglobin.
D. The HbA1c test provides an indication of long-term blood glucose control, reflecting the average blood glucose levels over the past 2-3 months. It is a crucial tool for managing diabetes and monitoring the effectiveness of treatment plans.
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Related Questions
Correct Answer is C
Explanation
A. Removing outer clothing can be uncomfortable or distressing for toddlers, so it is often better to do this gradually, allowing the child to feel more at ease.
B. Allowing the toddler to sit in the parent's lap can provide comfort and security during the examination.
C. Allowing the toddler to inspect the stethoscope is an effective way to reduce anxiety and establish trust with the child.
D. Traumatic procedures, such as immunizations or blood draws, should be done last to avoid causing unnecessary distress during the examination.
Correct Answer is C
Explanation
A. Preschoolers typically have a limited understanding of death and may not experience isolation in the way older children or adults do. They may be more concerned about the reactions of those around them rather than feeling isolated.
B. At this stage, preschoolers are more likely to be concerned with bodily functions and their emotional state rather than worrying about physical body changes after death.
C. Preschoolers often perceive death as a form of punishment due to magical thinking. They may believe that death happens because of something they did wrong or something they caused, reflecting a child’s egocentric thinking.
D. Preschoolers generally do not understand the permanence of death. They may believe that the person will return or that they could wake up from a nap. This understanding typically develops around the age of 6.
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