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

Answer and Explanation

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

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Correct Answer is C

Explanation

Rationale-Nonnutritive sugar substitute produces a sweet taste without contributing any calories. For a client with type 1 diabetes mellitus, the best recommendation for a sweetener would be a nonnutritive sugar substitute. These substitutes are considered safe and do not affect blood sugar levels, which is crucial for managing diabetes. They include aspartame, sucralose, and stevia, offer sweetness without the additional calories and carbohydrates, making them a suitable choice for individuals with diabetes. Natural honey and corn syrup, while natural, are high in carbohydrates and can cause an increase in blood sugar levels. This interferes with the titration of insulin and should be avoided.

A. Omit the KCL dose and document that it was not given. B. Hold the prescribed dose and notify the provider of the serum potassium level. C. Give the ordered KCL as prescribed. D. Call the lab to verify the client's results.

Correct Answer is C

Explanation

A serum potassium level of 3.2 mEq/L is considered low, as normal potassium levels are typically between 3.5 and 5.0 mEq/L. When a client has hypokalemia (low potassium), administering potassium chloride (KCl) can help to correct the imbalance. It is important for the nurse to follow hospital protocols and guidelines when administering medications, especially those that can affect electrolyte balance.

A-Holding the KCL in inappropriate as it is needed from the indicated levels

B-The KCL should not be held as the client needs it

D-Hypokalemia is expected in loop diuretics therapy due to renal losses of potassium

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has type 1 diabetes mellitus. Which of the following recommendations should the nurse make to the client for a sweetener?

Correct Answer is C

Explanation

A nurse is preparing to administer potassium chloride (KCL) to a client who is receiving diuretic therapy. The nurse reviews the client's serum potassium level results and discovers the client's potassium level is 3.2 mEq/L. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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