An adolescent with type 1 diabetes mellitus is hospitalized for the third time in 1 year with an infection. Which laboratory value would provide the nurse the most important information?
A.
Albumen: 4 g/dL
B.
Fasting blood sugar: 99 mg/dL
C.
Hemoglobin A1C: 9.8%
D.
White blood count: 15,000/mm3
ANS: C
A diabetic adolescent with many infections should be assessed for noncompliance. The hemoglobin A1C is the average blood glucose over the last 3 months and will be helpful to determine how the teen's blood glucose has been controlled over time, thus giving information about compliance. The albumen is normal. The fasting blood sugar is normal and, while in the hospital, is not surprising. The WBC is high, indicating infection.
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