A nurse working for a home health agency is teaching a client diagnosed with diabetes mellitus about disease management. Which of the following glycosylated hemoglobin (HbA1c) values should the nurse include in the teaching as an indicator that the client is appropriately controlling their glucose levels?

7.8%

8.5%

10%

6.3%

Answer and Explanation

The Correct Answer is D

A. 7.8%

An HbA1c value of 7.8% indicates an average blood sugar level over the past 2-3 months that is higher than the optimal range. This suggests that the client may not be achieving optimal glucose control.

B. 8.5%

An HbA1c value of 8.5% also indicates elevated average blood sugar levels over the past few months. This value suggests poorer control of diabetes, and adjustments to the management plan may be needed.

C. 10%

An HbA1c value of 10% indicates higher average blood sugar levels, signifying inadequate control of diabetes. This value suggests a need for intervention and modification of the treatment plan to achieve better glucose management.

D. 6.3%

An HbA1c value of 6.3% is considered a relatively good indicator of glucose control. This value suggests that the client has been successful in maintaining lower average blood sugar levels over the past 2-3 months, reflecting effective diabetes management.

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Correct Answer is C

Explanation

A. "I'll wear sandals in warm weather":

While wearing sandals in warm weather can be comfortable, it may not provide adequate protection for the feet, especially for individuals with diabetes. Closed, protective shoes are generally recommended to prevent injuries.

B. "I'll put lotion between my toes after drying my feet":

Applying lotion between the toes can create a moist environment, which may increase the risk of fungal infections. It is generally advisable to keep the skin between the toes dry to prevent infections.

C. "I'll check my feet every day for sores and bruises":

This statement is correct. Regular foot checks are crucial for individuals with diabetes to identify any signs of sores, bruises, or other abnormalities early. Early detection and prompt treatment can help prevent complications.

D. "I’ll soak my feet in cool water every night before I go to bed":

Soaking the feet in cool water is generally not recommended, as it can lead to maceration of the skin and increase the risk of fungal infections. Daily inspection and proper hygiene are more important aspects of foot care.

A. Dyspepsia B. Epigastric discomfort C. Hematemesis D. Epigastric pain

Correct Answer is C

Explanation

A. Dyspepsia:

Dyspepsia refers to discomfort or pain in the upper abdomen, often described as indigestion. It is a common symptom of peptic ulcer disease but is not as urgent as the manifestation described in option C.

B. Epigastric discomfort:

Epigastric discomfort is a common symptom of peptic ulcer disease, but the priority is to identify more severe complications, such as bleeding.

C. Hematemesis:

This is the correct answer. Hematemesis refers to the vomiting of blood, which is a serious and potentially life-threatening complication of peptic ulcer disease. It indicates active bleeding in the upper gastrointestinal tract and requires prompt medical attention.

D. Epigastric pain:

Epigastric pain is similar to epigastric discomfort and is a common symptom of peptic ulcer disease. However, the priority in the given options is to identify the more severe complication of hematemesis.

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Naxlex Comprehensive Predictor Exams

A nurse is teaching a client diagnosed with type 1 diabetes mellitus about foot care. Which of the following statements by the client about foot care is correct?

Correct Answer is C

Explanation

A nurse is assessing a client diagnosed with peptic ulcer disease. Which of the following findings should the nurse identify as the priority?

Correct Answer is C

Explanation

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