An active 28-year-old male with type 1 diabetes is being seen in the endocrine clinic. Which finding may indicate the need for a change in therapy?
a. Hemoglobin A1C level 6.2%
b. Blood pressure 146/88 mmHg
c. Heart rate at rest 58 beats/minute
d. High density lipoprotein (HDL) level 65 mg/dL
ANS: B
To decrease the incidence of macrovascular and microvascular problems in patients with diabetes, the goal blood pressure is usually 130/80. An A1C less than 6.5%, a low resting heart rate (consistent with regular aerobic exercise in a young adult), and an HDL level of 65 mg/dL all indicate that the patient's diabetes and risk factors for vascular disease are well controlled.
You might also like to view...
Qualitative data are most likely to be collected in a(n):
A) Impact analysis B) Outcome analysis C) Process analysis D) Economic analysis
A client informs the nurse that he has been taking ibuprofen every 6 hours for 3 weeks to help alleviate the pain of arthritis. The client has a history of a gastric ulcer and is taking a proton pump inhibitor for the treatment of this disorder
What should the nurse instruct the client about the use of the ibuprofen? A) "You should never take ibuprofen; it can cause considerable problems." B) "Ibuprofen is contraindicated when taking a proton pump inhibitor." C) "It would be best to contact the physician prior to take any over-the-counter medications." D) "Don't you know that you can cause bleeding when you take that medication so often?"
A nurse in the ambulatory care setting is preparing to do an interview with a non-English-speaking client. The nurse secures an interpreter. In order to have the most effective interview, the nurse should do which of the following? (Select all that apply
a. Look and speak to the interpreter b. Use technical terminology to ensure accu-racy c. Allow more time for the interview d. Watch the client's nonverbal communica-tion e. Have the interpreter check whether the client understands the communication
The client who has just had an IV started in the right cephalic vein tells the nurse that the wrist and hand below the IV site feel like there are "pins and needles" in them. What is the nurse's best action?
A. Document the response as the only action. B. Discontinue the IV and restart it at another site. C. Check for the presence of a strong blood return. D. Elevate the extremity so that it is above the level of the heart.