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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Free Nursing Study Resources

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. "A weight reduction program will make me hypoglycemic.” B. "I give the insulin injections in my abdominal area.” C. “Insulin allows me to eat ice cream at bedtime.” D. "I am to take my blood sugar reading after meals.”

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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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

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Correct Answer is B

Explanation

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