When the type 2 diabetic patient says, "Why in the world are they looking at my hemoglobin? I thought my problem was with my blood sugar." The nurse responds that the level of hemoglobin A1c:
1. shows how a high glucose level can cause a significant drop in the hemoglobin level.
2. shows what the glucose level has done for the last 3 months.
3. indicates a true picture of the patient's nutritional state.
4. reflects the effect of high glucose levels on the ability to produce red blood cells.
2
By analyzing the amount of glucose bound to the hemoglobin, the level of blood glucose can be evaluated for the last 3 months, because the glucose stays bound to the hemoglobin for the life of the red blood cell (RBC).
PTS: 1 DIF: Cognitive Level: Application REF: 1017
OBJ: 9 TOP: Hemoglobin A1c-Glycosylated Hemoglobin Level
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
You might also like to view...
The nurse suspects that the patient is experiencing a drug toxicity rather than a side effect. Which question will the nurse ask to help confirm this suspicion?
a. "When did you take your last dose of the medication?" b. "Have you been taking extra doses of the medication?" c. "Are you taking any other medications?" d. "Have you ever taken this medication in the past? "
During the initial phase of teaching, which of these aspects is essential for the nurse to assess?
a. actual client learning needs c. involvement of family members b. potential client learning needs d. client time management
Electronic MARs records
A. do not include medication records. B. include medication orders and administration times. C. are not used for physician's orders or documentation of medication administration. D. do not require a log in name or secure passwords.
Which term is used to describe quivering-like contractions of small muscle fiber bundles?
1) Lordosis 2) Scoliosis 3) Neologism 4) Fasciculation