The nurse is providing care for a woman with Type 1 Diabetes. Which of the following is true for the laboratory test for Glycosylated Hemoglobin A1C

An A1c shows the amount of hemoglobin the liver can absorb.

An A1c provides current glucose levels in the blood.

An A1c would be considered good diabetic control with results of 46%

An A1c is done between 24 to 28 weeks on all pregnant women.

Answer and Explanation

The Correct Answer is C

A. The A1c test measures the average blood glucose levels over the past 2-3 months, not the liver’s ability to absorb hemoglobin.

B. The A1c test does not provide current glucose levels in the blood but reflects long-term glucose control.

C. An A1c of 46% (6.5%) is a generally accepted target for good diabetic control, reflecting long-term blood glucose levels.

D. An A1c test is typically done every 3 months for people with diabetes, not routinely between 24 to 28 weeks in all pregnant women unless they have diabetes.

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Correct Answer is ["A","B","E"]

Explanation

A. Monitoring oxygen saturation is important to assess respiratory status, as epiglottitis can cause airway obstruction.

B. Droplet precautions are required for Haemophilus influenzae type B to prevent transmission.

C. Inspecting the epiglottis is contraindicated as it can trigger airway spasm and worsen obstruction.

D. A throat culture is not appropriate in a child with suspected epiglottitis due to the risk of airway obstruction. The diagnosis is typically confirmed through other methods, such as imaging.

E. IV access should be established to provide fluids and medications, especially if the child requires emergency interventions.

A. Keep the state records updated. B. Determine ABO incompatibilities C. Determine if the infant has hypoglycemia D. Recognize and treat multiple genetic or metabolic disorders.

Correct Answer is D

Explanation

A. Keeping state records updated is a procedural part of newborn screening, but it is not the primary reason for the test.

B. ABO incompatibilities are a separate issue and are not the focus of newborn screening tests like PKU.

C. Hypoglycemia is not detected by the newborn screening tests, which focus on metabolic and genetic disorders, not immediate blood glucose levels.

D. The primary goal of newborn screening is to detect various genetic or metabolic disorders early. Early identification allows for timely treatment that can prevent serious health complications, including developmental delays or death.

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The nurse is providing care for a woman with Type 1 Diabetes. Which of the following is true for the laboratory test for Glycosylated Hemoglobin A1C

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has epiglottitis due to an infection with Haemophilus influenzae type B. Which of the following actions should the nurse take? Select all that apply.

Correct Answer is ["A","B","E"]

Explanation

When teaching parents about mandatory newborn screening, which of the following is the most important rationale for why the newborn screening test is given (often called PKU because this was the test mandated)?

Correct Answer is D

Explanation

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