Nokea
Which test for diabetes measures the long-term management of the disease?
- A. Fasting blood sugar
- B. Glucose tolerance test
- C. Finger stick glucose test
- D. Glycosylated hemoglobin
Correct Answer: D
Rationale: Glycosylated hemoglobin (HbA1c) measures average blood glucose over 2-3 months, assessing long-term diabetes control, unlike fasting, tolerance, or finger stick tests, which are short-term.
You may also like to solve these questions
A parent brings her 3 month-old into the clinic, reporting that the child seems to be spitting up all the time and has a lot of gas. The nurse expects to find which of the following on the initial history and physical assessment?
- A. increased temperature and lethargy
- B. restlessness and increased mucus production
- C. increased sleeping and listlessness
- D. diarrhea and poor skin turgor
Correct Answer: B
Rationale: This infant could be experiencing gastroesophageal reflux, or could be allergic to the formula. Restlessness, irritability and increased mucus production can develop if an allergy is present.
A client diagnosed with hypertension has been prescribed a clonidine patch. Which instructions should the nurse include to reinforce prior teaching? Select all that apply.
- A. Apply patch to the upper arm or chest
- B. Fold used patches in half with sticky sides together before discarding
- C. Remove patch if dizziness occurs when getting up
- D. Rotate sites each time a new patch is applied
- E. Shave hair before applying patch
Correct Answer: A, B, D
Rationale: Applying to upper arm/chest (A), folding patches (B), and rotating sites (D) ensure safe use. Removing for dizziness (C) requires medical consultation, and shaving (E) can irritate skin.
Vital signs
Temperature 95 F (35 C)
Blood pressure 90/50 mm Hg
Heart rate 50/min
Respirations 6/min
SpO2 83%
The nurse is caring for a client with hypothyroidism who has become lethargic and difficult to rouse. Which action is the priority?
- A. Administer scheduled PO levothyroxine
- B. Perform bag-valve-mask ventilation
- C. Place a warming blanket on the client
- D. Review client's thyroid laboratory results
Correct Answer: B
Rationale: Lethargy and unresponsiveness in hypothyroidism suggest myxedema coma, requiring immediate airway management with ventilation (B). Levothyroxine (A), warming (C), and lab review (D) are secondary.
The nurse is caring for a hospitalized client diagnosed with thyrotoxicosis (thyroid storm). Which action is most appropriate to assign to unlicensed assistive personnel?
- A. Call the family to give an update on new aspects of the client's condition
- B. Lower the temperature in the room to make the environment cooler
- C. Reinforce teaching about signs and symptoms of hyperthyroidism
- D. Take vital signs and place a warming blanket on the client
Correct Answer: B
Rationale: Lowering room temperature (B) is within UAP scope and helps manage hyperthermia. Calling family (A), teaching (C), and applying a warming blanket (D) are inappropriate or require nursing judgment.
The nurse is discussing positioning with the family of a client who is at home following a total hip replacement a week ago. Which should be included in the discussion?
- A. Keep the client on his unaffected side most of the time.
- B. Position the client to maintain hip flexion.
- C. Keep a pillow between his legs when turning him.
- D. Position the client so the hip is adducted.
Correct Answer: C
Rationale: A pillow between the legs maintains hip abduction, preventing dislocation post-hip replacement, a critical positioning instruction.