After 6 months a patient came for a follow-up visit. He indicates that his blood sugars have been around 100 to 120 mg/dL, and he has been fully participating in the other aspects of his diabetes management plan. Which would lead you to believe that he has not been in tight control of his diabetes?
A random blood sugar of 150 mg/dL performed in the clinic
There is no method to determine whether or not he is in tight control
A reduced glycosylated hemoglobin level
An elevated glycosylated hemoglobin level
The Correct Answer is D
A. A random blood sugar of 150 mg/dL is within an acceptable range for someone with diabetes, though it may suggest some fluctuation in blood glucose levels. It does not definitively indicate poor control of diabetes.
B. There are multiple methods to determine if diabetes is under tight control, including blood glucose monitoring and glycosylated hemoglobin (HbA1c) testing.
C. A reduced glycosylated hemoglobin level would indicate that blood glucose levels have been well-controlled over the past few months, suggesting that the patient is in tight control.
D. An elevated glycosylated hemoglobin level indicates that the patient's average blood glucose levels have been higher than recommended over the past 2-3 months, suggesting poor control of diabetes despite the patient's reported blood sugar levels. HbA1c is a key indicator of long-term glucose control.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Meconium ileus is a common early sign of cystic fibrosis in newborns. It occurs when the meconium, which is the first stool of a newborn, becomes thick and sticky, leading to a blockage in the intestines. This is often one of the first signs of cystic fibrosis in infants.
B. Cyanosis, while indicative of oxygenation problems, is not a specific sign of cystic fibrosis in newborns. It may be seen in many respiratory or cardiac conditions.
C. Yellow, seedy, loose stools are more commonly associated with normal newborn digestion or conditions like lactose intolerance or gastrointestinal infections, not specifically cystic fibrosis.
D. Coughing is a symptom of cystic fibrosis, but it typically develops later as the disease progresses and affects the lungs, rather than being an early sign in newborns.
Correct Answer is D
Explanation
A. Insulin promotes fat storage and inhibits the breakdown of lipids. Therefore, insulin release would not increase lipid breakdown.
B. Insulin decreases blood glucose levels by facilitating the uptake of glucose into cells for energy production and storage. Insulin does not increase blood glucose levels; it lowers them.
C. Insulin promotes protein synthesis and inhibits protein breakdown, so it would not increase protein breakdown.
D. Insulin lowers blood glucose levels by enhancing glucose uptake into cells, making it the correct answer.
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