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A female patient is scheduled for an oral glucose tolerance test. Which information from the
patient’s health history is most important for the nurse to communicate to the health care
provider?

  • A. The patient uses oral contraceptives.
  • B. The patient runs several days a week.
  • C. The patient has been pregnant three times
  • D. The patient has a family history of diabetes
Correct Answer: A

Rationale: The correct answer is A: The patient uses oral contraceptives. This information is important because oral contraceptives can affect glucose tolerance test results. The hormones in oral contraceptives can impact insulin sensitivity, potentially leading to inaccurate test results. It is crucial for the healthcare provider to be aware of this as it may influence the interpretation of the test.

Other choices are incorrect:
B: The patient runs several days a week - This information is not directly relevant to the oral glucose tolerance test and does not impact the test results.
C: The patient has been pregnant three times - While pregnancy can affect glucose tolerance, the current pregnancy status of the patient is not as pertinent as the use of oral contraceptives in this specific context.
D: The patient has a family history of diabetes - Although family history is a risk factor for diabetes, it is not as immediately relevant to the oral glucose tolerance test as the use of oral contraceptives.