Which of the following outcomes for a type 2 diabetic indicates the client's exercise program has been effective?
1. Hemoglobin A1C goes from 8 to 7
2. Patient's weight remains the same
3. Fingerstick glucose levels range from 52 to 209
4. Client states she feels less hungry
Hemoglobin A1C goes from 8 to 7
Rationale: Hemoglobin A1C is a reflection of the average daily glucose level over the last 3 months; exercise sensitizes the receptor to insulin, lowering glucose levels. While weight gain is undesirable, weight loss is the typical goal. Pre-prandial glucose levels should range from 70 mg to 110 mg/dL.
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A patient presents at the clinic with complaints of morning numbness, cramping, and stiffness in his fourth and fifth fingers. What disease process should the nurse suspect?
A) Tendonitis B) A ganglion C) Carpal tunnel syndrome D) Dupuytren's disease
A patient asks about metabolic syndrome. How should the nurse respond to this patient?
1. "Metabolic syndrome is caused by obesity, physical inactivity, and genetic factors." 2. "This syndrome is not a concern for females unless they smoke." 3. "This problem affects only older adults over the age of 65." 4. "It can be avoided by taking vitamins daily and drinking 64 fluid ounces of water a day."
While supervising a student who is manually transferring a patient from a bed to a chair, a nurse intervenes when the student transfers the patient while
1. Twisting at the torso. 2. Standing close to the patient. 3. Using proper body mechanics. 4. Maintaining a wide base of support.
An analysis of most gallstones would reveal a high concentration of:
a. phosphate. b. bilirubin. c. urate. d. cholesterol.