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. "Eat four small meals each day":

Eating smaller, more frequent meals can help prevent overfilling the stomach and reduce pressure on the lower esophageal sphincter (LES), potentially decreasing reflux symptoms. However, the effectiveness can vary among individuals.

B. "Sleep on your left side":

Sleeping on the left side may reduce symptoms of GERD for some individuals. This position can keep the stomach below the esophagus, minimizing reflux. However, individual preferences and comfort should be considered.

C. "Wait to go to bed for 1 hour after eating":

This instruction helps reduce the risk of reflux while lying down. Waiting after eating allows gravity to aid in digestion and reduces the likelihood of stomach contents backing up into the esophagus during sleep.

D. "Drink milk to soothe your stomach":

While milk might provide temporary relief for some people by neutralizing stomach acid, it can stimulate acid production, potentially exacerbating GERD symptoms in the long run. Therefore, it's not a recommended solution for managing GERD.

A. Cheddar cheese B. Vegetable soup C. Noodles D. Baked fish

Correct Answer is A

Explanation

A. Cheddar cheese:

Cheddar cheese is high in fat, and individuals with a history of pancreatitis are often advised to limit their fat intake. High-fat foods can stimulate the pancreas to release digestive enzymes, potentially triggering or exacerbating pancreatitis.

B. Vegetable soup:

Depending on the ingredients, vegetable soup may or may not be high in fat. The key consideration is to choose soups that are not prepared with excessive amounts of fat or oil.

C. Noodles:

Noodles, by themselves, are not high in fat. However, the choice of sauce or toppings can impact the overall fat content of the meal. It's important to consider the entire composition of the dish.

D. Baked fish:

Baked fish is generally a lean protein source and is lower in fat compared to some other protein sources. Baked fish is often considered a suitable choice for individuals with a history of pancreatitis.

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Naxlex Comprehensive Predictor Exams

A nurse is providing teaching for a client diagnosed with gastroesophageal reflux disease (GERD) about ways to manage the condition. Which of the following instructions should the nurse include?

Correct Answer is C

Explanation

A nurse is providing teaching to a client who has a history of pancreatitis. Which of the following food choices should the nurse instruct the client to avoid?

Correct Answer is A

Explanation

A nurse is planning care for a client who has cirrhosis of the liver. Which of the following actions should the nurse include in the plan? (Select all that apply.)

A nurse is ready to insert an indwelling urinary catheter for a female client. Which of the following instructions should the nurse provide to the client as the catheter is inserted?

A nurse is teaching a client who has a prescription of a nasogastric tube (NG) to treat a pyloric obstruction. Which of the following rationales for the use of the nasogastric tube should the nurse include in the teaching?

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?

A nurse is Interviewing a client who has acute pancreatitis. Which of the following factors should the nurse anticipate finding in the client's history?

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A nurse is developing a teaching plan for a client who has an Ileostomy and will require stoma care. Which of the following Information should the nurse include?

A nurse is caring for a client following an esophagogastroduodenoscopy (EGD) procedure. Which of the following assessments should be the nurse's priority assessment?