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%
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. COPD (Chronic Obstructive Pulmonary Disease) is not directly associated with acute pancreatitis. The common risk factors for acute pancreatitis include gallstones, alcohol use, and certain medications.
B. Hypolipidemia (low blood lipid levels) is not a typical factor associated with acute pancreatitis. Elevated levels of lipids in the blood (hyperlipidemia) can be a risk factor, but hypolipidemia is not commonly linked to pancreatitis.
C. Diabetes mellitus, while not a direct cause of acute pancreatitis, can be associated with an increased risk. Uncontrolled diabetes may contribute to the development of pancreatitis, but it is not a primary risk factor.
D. Gallstones are a significant risk factor for acute pancreatitis. Gallstones can obstruct the pancreatic duct, leading to inflammation and damage to the pancreas. This obstruction is one of the common causes of acute pancreatitis.
Correct Answer is B
Explanation
A. "A weight reduction program will make me hypoglycemic.”
This statement suggests a misunderstanding. Weight reduction programs, when done appropriately, can contribute to better blood sugar control, but they should not necessarily lead to hypoglycemia if managed properly.
B. "I give the insulin injections in my abdominal area.”
This is the correct statement. Injecting insulin into the abdominal area is a common and recommended practice as it allows for consistent absorption and is a well-vascularized area.
C. “Insulin allows me to eat ice cream at bedtime.”
This statement suggests a misunderstanding. While insulin helps manage blood sugar levels, it should not be seen as a means to consume unlimited quantities of high-sugar foods, as a balanced diet is still crucial.
D. "I am to take my blood sugar reading after meals.”
This statement is partially correct. Blood sugar readings are often recommended before and after meals to assess the impact of food intake on blood glucose levels.
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