In an outpatient diabetic clinic, the nurse is assessing clients. Which entry provides the best indication that the client is adhering to the prescribed diabetic regimen?

Hemoglobin A1C of 6.2%.

Fasting plasma glucose of 189 mg/dL (10.49 mmol/L).

High-density lipoprotein of 40 mg/dL (1.03 mmol/L).

Postprandial plasma glucose of 225 mg/dL (12.49 mmol/L).

Answer and Explanation

The Correct Answer is A

Choice A reason: This is the correct choice. A Hemoglobin A1C level of 6.2% is within the target range for most adults with diabetes and indicates good blood sugar control over the past 2 to 3 months.
Choice B reason: A fasting plasma glucose of 189 mg/dL is above the target range for fasting blood sugar levels, indicating that the client may not be adhering to the diabetic regimen.
Choice C reason: While an HDL of 40 mg/dL is at the lower limit of the normal range, it does not provide direct information about blood sugar control.
Choice D reason: A postprandial plasma glucose of 225 mg/dL is above the target range for after-meal blood sugar levels, suggesting that the client's diabetes is not well-controlled.

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Correct Answer is ["B","D","E","F"]

Explanation

Choice A reason: Elevated high-density lipoproteins (HDL) are actually protective against heart disease.
Choice B reason: Increased triglyceride levels are a risk factor for vascular disease and should be addressed.
Choice C reason: Hypothyroidism is not a component of metabolic syndrome but should be managed if present.
Choice D reason: High blood pressure is a component of metabolic syndrome and increases the risk for vascular disease.
Choice E reason: Abdominal obesity is a key component of metabolic syndrome and is associated with increased risk for diabetes and vascular disease.
Choice F reason: Hyperglycemia is a sign of impaired glucose tolerance or diabetes and is a component of metabolic syndrome.

A. "Treatment needs to be started as soon as possible." B. "I realize my infant will require follow-up care until he reaches skeletal maturity." C. "I need to bring my infant to the clinic every 1-2 weeks for new casts." D. "A spica cast will stay in place for 8-10 weeks."

Correct Answer is D

Explanation

Choice A reason: This statement is correct; early treatment for clubfoot is essential for the best outcomes.

Choice B reason: The parent's understanding of the need for long-term follow-up care until skeletal maturity is accurate.

Choice C reason: Regular visits for new casts are part of the standard treatment protocol for clubfoot.

Choice D reason: This statement indicates a misunderstanding. Clubfoot treatment typically involves a series of casts changed more frequently than 8-10 weeks apart, not a single spica cast for that duration. Further teaching is needed to correct this misconception.

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In an outpatient diabetic clinic, the nurse is assessing clients. Which entry provides the best indication that the client is adhering to the prescribed diabetic regimen?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse prepares a teaching plan for an adult patient with metabolic syndrome. Which findings should the nurse address to help the patient reduce the risk for diabetes mellitus and vascular disease? (Select all that apply.)

Correct Answer is ["B","D","E","F"]

Explanation

Which statement by the parent indicates a need for further teaching regarding clubfoot?

Correct Answer is D

Explanation

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