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 A
Explanation
This statement indicates that the client understands the importance of daily foot inspections to prevent complications, which is crucial for individuals with diabetes due to their increased risk of foot ulcers and infections stemming from high blood sugar levels. The client's understanding of the need for daily foot checks demonstrates a grasp of essential diabetic foot care principles.
B- It is not advisable because soaking feet can lead to skin breakdown, increasing the risk of infection.
C- It is incorrect because putting lotion between toes can cause excessive moisture, which can also lead to infections.
D- while it may seem reasonable, is not the best practice as wearing sandals can expose the feet to injuries and does not provide the necessary support and protection. Soaking the feet in water increases risk of infections
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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