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The client diagnosed with type 1 diabetes has a glycosylated hemoglobin (A1c) of 8.1%. Which interpretation should the nurse make based on this result?
- A. This result is below normal levels.
- B. This result is within acceptable levels.
- C. This result is above recommended levels.
- D. This result is dangerously high.
Correct Answer: C
Rationale: An A1c of 8.1% is above the recommended target (<7% for most diabetics), indicating poor glycemic control. It is not normal, acceptable, or dangerously high (e.g., >10%).
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How does the nurse expect the urine that is collected for a routine urinalysis to appear?
- A. Tea-colored
- B. Pale yellow
- C. Goldless
- D. Light pink
Correct Answer: B
Rationale: In diabetes insipidus, the urine is typically dilute and pale yellow due to the large volume of water excreted.
The client is admitted to the intensive care department diagnosed with myxedema coma. Which assessment data warrant immediate intervention by the nurse?
- A. Serum blood glucose level of 74 mg/dL.
- B. Pulse oximeter reading of 90%.
- C. Telemetry reading showing sinus bradycardia.
- D. The client is lethargic and sleeps all the time.
Correct Answer: B
Rationale: A pulse oximetry of 90% indicates hypoxia, requiring immediate intervention in myxedema coma. Normal glucose, bradycardia, and lethargy are expected.
When the client asks the nurse why regular exercise is recommended for diabetic clients, the best answer is that exercise tends to facilitate which positive outcome?
- A. Regular exercise helps to control weight.
- B. Regular exercise helps to decrease appetite.
- C. Regular exercise helps to reduce blood glucose levels.
- D. Regular exercise helps to improve circulation to the feet.
Correct Answer: C
Rationale: Exercise increases insulin sensitivity, reducing blood glucose levels in diabetes.
The nurse is assessing a client with complaints of vague upper abdominal pain worse at night but relieved by sitting up and leaning forward. Which assessment question should the nurse ask next?
- A. Have you noticed a yellow haze when you look at things?
- B. Does the pain get worse when you eat a meal or snack?
- C. Have you had your amylase and lipase checked recently?
- D. How much weight have you gained since you saw an HCP?
Correct Answer: A
Rationale: The pain description suggests pancreatic cancer; jaundice (yellow haze) is a common symptom due to bile duct obstruction, guiding further assessment. Eating effects, labs, and weight gain are less specific.
The nurse is interviewing four clients. Which client is at the greatest risk for developing type 2 DM?
- A. 56-year-old Hispanic female
- B. 40-year-old Asian American female
- C. 25-year-old obese Caucasian male
- D. 38-year-old Native American male
Correct Answer: D
Rationale: Research has shown that the highest incidence of DM is among Native Americans.