A nurse is reviewing blood glucose values for a client who is at risk for diabetes mellitus. Which of the following findings should the nurse report to the provider?

Fasting blood glucose 70 mg/dL

2-hr glucose tolerance test level 150 mg/dL

Glycosylated hemoglobin 5%

Casual blood glucose 90 mg/dL

Answer and Explanation

The Correct Answer is B

2-hour glucose tolerance test level 150 mg/dL: The 2-hour glucose tolerance test level of 150 mg/dL indicates elevated blood glucose levels after a glucose challenge. This finding suggests impaired glucose tolerance or impaired fasting glucose, which are considered pre-diabetic states. It is important to report this finding to the provider for further evaluation and consideration of interventions to prevent or delay the development of diabetes mellitus.

Fasting blood glucose 70 mg/dL: A fasting blood glucose level of 70 mg/dL is within the normal range. Typically, fasting blood glucose levels below 100 mg/dL are considered normal.

Therefore, this finding does not indicate a concern for diabetes.

Glycosylated hemoglobin 5%: A glycosylated hemoglobin (HbA1c) level of 5% is within the normal range. HbA1c is a measure of average blood glucose levels over the past two to three months, and a level below 5.7% is typically considered normal. Therefore, this finding does not indicate a concern for diabetes.

Casual blood glucose 90 mg/dL: A casual blood glucose level of 90 mg/dL is within the normal range. Casual blood glucose levels below 140 mg/dL are generally considered normal.

Therefore, this finding does not indicate a concern for diabetes.

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Correct Answer is A

Explanation

According to some sources, behavioral modifications for weight loss include:
● Keeping a food journal to track your intake and identify patterns
● Eating smaller portions and using smaller plates
● Filling half of your plate with fruits and vegetables
● Getting plenty of sleep and drinking fluids
● Eating slowly and consciously
● Eating breakfast every day
● Avoiding high-calorie add-ons such as cream, butter, mayonnaise and salad dressings
● Not eating while watching television, reading, working or doing other activities
● Planning healthy snacks and meals in advance and bringing them to work
● Replacing eating with another activity that you will not associate with food
Based on these suggestions, the statement that the nurse should include in the teaching is “Make sure to drink water with your meals.” This can help you feel full and hydrated, and reduce your calorie intake from other beverages.
The other statements are either false or not related to behavioral modifications. For example:
● Your biggest meal of the day should be breakfast. This is not a behavioral modification, but a dietary recommendation that may vary depending on your preferences and needs.
● Meal replacement shakes can cause weight gain. This is not a behavioral modification, but a claim that is not supported by evidence. Meal replacement shakes can be part of a weight loss plan if they are used appropriately and provide adequate nutrition.
● Set your weight loss goal to 2.5 pounds per week. This is not a behavioral modification, but a goal that may be unrealistic or unhealthy for some people. A more reasonable goal is to lose 1 to 2 pounds per week.

A. Juvenile rheumatoid arthritis B. Type 1 diabetes mellitus C. Hypothyroidism D. Hypertension

Correct Answer is D

Explanation

Childhood obesity is associated with an increased risk of developing various health problems, and hypertension is one of the most common complications. Excess weight and adiposity can lead to increased blood volume and systemic inflammation, which can contribute to the development of hypertension. Long-standing hypertension in childhood can increase the risk of cardiovascular disease and other health issues later in life.

The other options are incorrect:

Juvenile rheumatoid arthritis is an autoimmune condition characterized by joint inflammation in children. While obesity can place additional stress on joints, it is not directly linked to the development of juvenile rheumatoid arthritis.

Type 1 diabetes mellitus is an autoimmune condition where the body's immune system mistakenly attacks and destroys insulin-producing cells in the pancreas. Obesity is not a known cause of type 1 diabetes.

Hypothyroidism is a condition where the thyroid gland does not produce enough thyroid hormone. While obesity can be associated with thyroid disorders, such as hypothyroidism, it is not a direct complication of childhood obesity.

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A nurse is reviewing blood glucose values for a client who is at risk for diabetes mellitus. Which of the following findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who reports wanting to lose weight about behavioral modifications. Which of the following statements should the nurse include in the teaching?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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