A nurse is reviewing the laboratory results of a client who is at risk for developing diabetes mellitus. The nurse should recognize that which of the following results indicates the client meets the criteria for diagnosis of diabetes mellitus?
2 hr blood glucose 170 mg/dL
HbA1c 5.5%
Fasting blood glucose 155 mg/dL
Casual blood glucose 180 mg/dl
The Correct Answer is C
Criteria for diagnosis of diabetes mellitus include
i.Symptoms of hyperglycemia + casual blood glucose of >/= 200mg/dl
ii. Fasting blood glucose of >/= 126mg/dl
iii. 2 hr blood glucose of >/= 200mg/dl
iv. HbA1c 0f >/= 6.5%
Fasting- 8 hrs without caloric intake
Casual- any time regardless of caloric intake
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The lab value that should be reported to the provider is D. Sodium 126 mEq/L. Normal sodium levels are typically between 135 and 145 mEq/L. A sodium level of 126 mEq/L is considered hyponatremia, which is a lower-than-normal concentration of sodium in the blood. Hyponatremia can have various causes and may result in symptoms such as headache, confusion, seizures, and other serious health issues.
A-Normal magnesium levels – 1.7-2.2 mEq/L
B-Normal potassium levels- 3.5-5.5mEq/L
C-Normal chloride levels- 96-106 mEq/L
Correct Answer is B
Explanation
Rationale-The symptoms of sweating and feeling anxious in a client with type 1 diabetes mellitus are indicative of hypoglycemia. Hypoglycemia occurs when blood sugar levels fall too low, which can happen with the administration of insulin or other diabetes medications, missed meals, or increased exercise without adequate dietary adjustment. These symptoms are part of the body's natural response to low blood sugar, as it tries to signal the need for a source of energy. It is important for the nurse to recognize these signs promptly and respond with appropriate interventions, such as providing a fastacting carbohydrate, to prevent further complications associated with hypoglycemia.
A, C -Hyperglycemia and ketoacidosis presents with respiratory distress and a fruity odor. They occur due
D-Nephropathy presents with lack or reduced urine output. Injury occurs the renal tubules reduces renal ultrafiltration and reabsorption.
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