Author Question: The nurse is caring for a long-term diabetic patient with a glycosylated hemoglobin (HbA1c) level of ... (Read 51 times)

jazziefee

  • Hero Member
  • *****
  • Posts: 505
The nurse is caring for a long-term diabetic patient with a glycosylated hemoglobin (HbA1c) level of 5. Which statement indicates that the patient understands this laboratory result?
 
  a. My hemoglobin A levels are excellent.
  b. I am anemic and may need a blood transfusion.
  c. I should meet with the dietician to dis-cuss better food choices.
  d. My glucose control has been excellent for the last few weeks.

Question 2

When caring for a male patient with a suspected gonorrheal infection, which action is most important for the nurse to take?
 
  a. Report the infection to the local public health agency.
  b. Assess the patient's temperature hourly.
  c. Administer antibiotics before cultures are drawn.
  d. Wait 1 hour after the patient voids to col-lect a urethral swab.



perkiness

  • Sr. Member
  • ****
  • Posts: 348
Answer to Question 1

D
The hemoglobin A1c (A1C) test (formerly called the glycosylated hemoglobin test) measures blood glucose over a period of many weeks. Glucose in the bloodstream attaches itself to the hemoglobin A (red blood cell) molecule and remains there for the life span of the red blood cell. Physicians use A1C test results to prescribe adjustments to a patient's treatment program for managing diabetes. Results of 4.9 to 6.7 are considered excellent results. Good results are between 7.6 and 8.5. Fair results are between 9.4 and 10.0. Poor control is considered between 12.1 and 13.0.

Answer to Question 2

D
Since the urine will have flushed out the organisms, the nurse should wait at least 1 hour postvo-id before collecting the specimen. The infection has not been confirmed, so no report should be made at this time. The patient's temperature should be obtained each shift. Administering anti-biotics before cultures are drawn may cause cultures to be negative even though the drug or the dose may not be sufficient to cure the infection. If possible, obtain cultures prior to administering antibiotics.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

Earwax has antimicrobial properties that reduce the viability of bacteria and fungus in the human ear.

Did you know?

Between 1999 and 2012, American adults with high total cholesterol decreased from 18.3% to 12.9%

Did you know?

Computer programs are available that crosscheck a new drug's possible trade name with all other trade names currently available. These programs detect dangerous similarities between names and alert the manufacturer of the drug.

Did you know?

Malaria was not eliminated in the United States until 1951. The term eliminated means that no new cases arise in a country for 3 years.

Did you know?

A good example of polar molecules can be understood when trying to make a cake. If water and oil are required, they will not mix together. If you put them into a measuring cup, the oil will rise to the top while the water remains on the bottom.

For a complete list of videos, visit our video library