A newly admitted patient has a fasting serum blood glucose level of 125 mg/dL. How should the nurse interpret this value?
1. This is a critical value that should be reported immediately.
2. The patient has type 1 diabetes.
3. The patient has normal glucose metabolism.
4. The patient may be prediabetic.
4
Rationale 1: While the physician will need to be made aware of these results, there is no indication the physician needs to be contacted immediately.
Rationale 2: A single serum glucose level is not sufficient for either a diagnosis of diabetes or a determination of type of diabetes.
Rationale 3: These results are not normal.
Rationale 4: Prediabetes is defined as a fasting serum glucose value of 100–126 mg/dL. The diagnosis is made on glucose of this level drawn on two or more occasions.
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