A client with diabetes is in the office for a routine diabetic check. The nurse performs a glucose finger stick, which is 95, but notices that the client has a foot wound that is not healed
The nurse suspects that the client's blood sugar has been high, and plans to review the results of a:
1. CBC.
2. Fasting blood sugar.
3. hemoglobin A1c.
4. glucose tolerance test.
Answer: 3
1. The CBC will not give information about the client's glucose level.
2. A fasting blood sugar is one test that can diagnose diabetes mellitus.
3. The hemoglobin A1c gives the average blood sugar over about 3 months. Sometimes clients will make sure the blood sugar is low for a visit to the doctor, not realizing that the A1C gives the nurse and physician an idea of the client's average blood sugar and would also explain the inability of the wound to heal if the A1c were high.
4. If a client's fasting blood sugar were high, the doctor might order a glucose tolerance test to confirm the diagnosis.
You might also like to view...
A nurse admits an older adult patient who states that he or she has no living relatives and only two close friends. Upon admission to the hospital, which action should the nurse initiate first?
a. Implement a process of payment. b. Implement a discharge plan. c. Implement a visit with the family. d. Implement a resource utilization group.
A student is teaching a class on the impact of mental health on the community. The student should include which of the following information in the presentation?
1. An estimated 25% of the population of the United States will experience a diagnosable mental illness in any given year. 2. The incidence of depression is expected to decrease within the next ten years. 3. Mental illness is an increasing problem only in the more populated areas of the world. 4. Post-traumatic stress disorder is the most common of the anxiety disorders.
The nurse is going to implement a protocol. For which action is the nurse most likely to follow this type of intervention?
a. Preparation of a client for a diagnostic procedure b. Adjustment of a client's blood pressure medications c. Administration of IV fluids d. Management of a client with acute pain
Gonococci may gain access to the blood stream, causing infections of heart valves, joints, and other tissues
Indicate whether the statement is true or false