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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Neck flexion when bending forward is not a typical indicator of scoliosis. Scoliosis is identified by abnormal curvature of the spine, not by the neck.
B. Uneven shoulders when standing erect are a key indicator of scoliosis. This asymmetry can be identified when the child bends forward at the waist, which is a standard test for scoliosis during a physical examination.
C. Toes that point inward when bending forward is not a sign of scoliosis. This could be indicative of a different musculoskeletal issue such as hip or leg alignment problems, but it is not related to scoliosis.
D. Knees that bow outward when standing erect indicate bow-leggedness (genu varum), not scoliosis. Scoliosis specifically affects the spine's curvature.
Correct Answer is D
Explanation
A. While prolonged exposure to peanuts may increase the risk of severe reactions, the severity of the allergy doesn't necessarily worsen due to exposure.
B. The child is only allergic to peanuts, not all types of nuts. Therefore, they may be able to safely eat other nuts, but they must avoid peanuts specifically.
C. Many children outgrow certain food allergies, but peanut allergies tend to persist into adulthood, making it less likely that the child will outgrow it by adolescence.
D. Epinephrine is the first-line treatment for a severe allergic reaction, and carrying an epinephrine auto-injector is essential for managing anaphylaxis quickly if it occurs.
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