A patient is seeing the nurse practitioner for a 6 months checkup for diabetes mellitus. While reviewing the patient's lab results, which lab best represents the patient has good control of the disease?

Urinalysis shows trace protein

Hemoglobin A1C of 5.6%

Fasting blood glucose of 110 mg/dL

Urine ketones are negative

Answer and Explanation

The Correct Answer is B

A. Urinalysis shows trace protein:
Explanation: While trace protein in the urine is generally better than higher levels, it doesn't provide a specific measure of blood glucose control. Protein in the urine can be an early sign of kidney damage in diabetes, but it doesn't directly indicate blood glucose control.

B. Hemoglobin A1C of 5.6%:
Explanation: Hemoglobin A1C (HbA1C) is a long-term indicator of blood glucose control. An HbA1C level of 5.6% is within the target range for individuals with diabetes and suggests good control of blood glucose over the past 2-3 months.

C. Fasting blood glucose of 110 mg/dL:
Explanation: Fasting blood glucose gives a snapshot of blood glucose at a specific moment. While 110 mg/dL is a fairly normal fasting level, it doesn't provide information about long-term control. A single fasting glucose measurement may not reflect overall glucose management.

D. Urine ketones are negative:
Explanation: Negative urine ketones indicate that the body is not currently using fat for energy. While this is a good sign in the moment, it doesn't give information about overall blood glucose control over time. Urine ketones can fluctuate based on various factors, including diet and activity level.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. The need to match the daily steroid dose to immediate symptoms:
Explanation: Adjusting the steroid dose based on immediate symptoms is not a recommended approach. Patients should follow the prescribed regimen provided by their healthcare provider.

B. The importance of monitoring liver function:
Explanation: While monitoring liver function is important for some medications, it is not the primary focus when teaching about hormone replacement therapy in Addison's disease. The emphasis is on the need for life-long steroid replacement.

C. The need for life-long steroid replacement:
Explanation: Patients with Addison's disease require life-long steroid replacement therapy to compensate for the deficiency in adrenal hormones. It's important for the patient to understand that adherence to the prescribed steroid regimen is essential for maintaining health and preventing adrenal crisis.

D. The possibility extreme weight loss from the use of corticosteroids:
Explanation: While corticosteroids can have various side effects, extreme weight loss is not a typical or desired outcome of steroid therapy for Addison's disease. Weight changes and potential side effects should be discussed, but the emphasis should be on the importance of long-term steroid replacement.

A. asthma B. hyperventilation C. chronic obstructive pulmonary disease D. renal insufficiency E. pneumonia

Correct Answer is ["C","E"]

Explanation

A. Asthma:
Explanation: Asthma is associated with respiratory alkalosis, not respiratory acidosis. In asthma, there is often hyperventilation leading to a decrease in carbon dioxide levels.

B. Hyperventilation:
Explanation: Correct. Hyperventilation can cause respiratory alkalosis, not respiratory acidosis. It leads to a decrease in carbon dioxide levels.

C. Chronic obstructive pulmonary disease (COPD):
Explanation: Correct. Conditions like COPD can lead to respiratory acidosis. In COPD, there is impaired ventilation, leading to an accumulation of carbon dioxide.

D. Renal insufficiency:
Explanation: Renal insufficiency is not a direct cause of respiratory acidosis. Respiratory acidosis is primarily related to respiratory system dysfunction.

E. Pneumonia:
Explanation: Correct. Pneumonia can cause respiratory acidosis. In pneumonia, there may be difficulty in eliminating carbon dioxide due to impaired gas exchange.

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A patient is seeing the nurse practitioner for a 6 months checkup for diabetes mellitus. While reviewing the patient's lab results, which lab best represents the patient has good control of the disease?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient with Addison's disease who is scheduled for discharge. When teaching the patient about hormone replacement therapy, the nurse should address what topic?

Correct Answer is C

Explanation

The nurse understands causes of respiratory acidosis include: (SELECT ALL THAT APPLY)

Correct Answer is ["C","E"]

Explanation

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