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. Bradycardia is not typically associated with gastrointestinal perforation. Instead, tachycardia may be observed due to the body's response to a potential emergency or shock.
B. Hyperactive bowel sounds are not typically associated with gastrointestinal perforation. In fact, bowel sounds may decrease or become absent in severe cases of peritonitis or abdominal emergencies.
C. Increased blood pressure is not typically associated with gastrointestinal perforation. Hypotension may be observed due to hypovolemia resulting from fluid leakage into the peritoneal cavity.
D. Sudden abdominal pain is a key clinical manifestation of gastrointestinal perforation. The perforation of the stomach or intestines allows the contents to leak into the abdominal cavity, leading to peritonitis. Sudden and severe abdominal pain is a hallmark symptom, often described as sharp, stabbing, and constant.
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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