The nurse is teaching a patient at an outpatient clinic whose laboratory tests include an HbA1c. Which of the following client statements indicates teaching has been effective? (Select all that apply.)
a. "This test can be used to help diagnose diabetes."
b. "If I eat anything with sugar in it the day before the test, it will show up on the test."
c. "The test shows long-term blood sugar control."
d. "The test looks back at blood sugar averages over the past 6 months."
e. "This test can help determine if my treatment plan is managing my diabetes effectively."
f. "The test can be done in the physician's office while I'm waiting."
ANS: A, C, E, F
The glycohemoglobin test (HbA1c) is used to gather baseline data and to monitor progress of diabetes control. In 2009, the American Diabetes Association (ADA) also changed its guidelines to include the HbA1c as a diagnostic test for diabetes. It also assists in determining the degree of effectiveness of a patient's treatment plan. Newer methods allow this test to be done in a physician's office while the patient waits.
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