A patient has come to the doctor's office after finding out that her blood glucose level was 135 mg/dL. She states that she had not eaten before the test and was told to come and see her doctor. She asks you if she has diabetes
The nurse responds: 1. "Having a fasting serum glucose that high certainly indicates diabetes."
2. "That test indicates that we need to do more tests that are specific for diabetes."
3. "How do you feel? Do you have any other signs of diabetes?"
4. "Do you have a family history of diabetes, stroke, or heart disease? We need to know before making a diagnosis."
2
The nurse needs to answer the patient's question in a way that gives information and is not misleading. Although 135 is high, there may be a nonpathologic explanation. More tests should be done to evaluate the patient.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 1009
OBJ: 4 TOP: Laboratory Tests for Diabetes
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
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