After starting the treatment for type 2 diabetes mellitus 6 months earlier, a client is in the office for a follow-up examination. The nurse will monitor which laboratory test to evaluate the clients adherence to the antidiabetic therapy over the past few months?
Serum insulin levels
Hemoglobin levels
Hemoglobin A1C level
Fingerstick fasting blood glucose level
The Correct Answer is C
A. Serum insulin levels reflects short-term insulin secretion but does not indicate long-term glucose control.
B. Hemoglobin levels relate to anemia, not glucose control.
C. Hemoglobin A1C level reflects the average blood glucose over the past 2-3 months, providing an excellent measure of long-term control.
D. Fingerstick fasting blood glucose level reflects glucose levels at the moment of testing, not long-term control.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A mild pain level of 3/10 is common after angioplasty and is not immediately concerning.
B. Minimal bruising at the groin is expected after this procedure and is not alarming.
C. A weakened pedal pulse and a cool leg could indicate compromised circulation, which is a serious concern post-angioplasty. Immediate assessment is needed to check for possible complications such as re-occlusion.
D. A blood pressure of 154/78 mmHg is somewhat elevated but not alarming.
Correct Answer is ["A","B","E"]
Explanation
A. LDL of 160 mg/dL is elevated, which is a risk factor for atherosclerosis.
B. Total cholesterol of 280 mg/dL is above the recommended level, increasing the risk of atherosclerosis.
C. Serum albumin is within the normal range and does not indicate atherosclerosis risk.
D. HDL cholesterol at 50 mg/dL is considered within a normal protective range and is not indicative of atherosclerosis risk.
E. Triglycerides of 200 mg/dL are also elevated, contributing to the risk for atherosclerosis.
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