The client with diabetes mellitus is being tested to determine ...

[tiara099]

The client with diabetes mellitus is being tested to determine long-term diabetic control. Which of the following results would the nurse expect to see if the client's long-term control is within acceptable limits?
 
  1. Glycosylated hemoglobin of 6
  2. Fasting blood glucose level of 150 mg/dL
  3. Presence of ketones in the urine
  4. Presence of albumin in the urine

Question 2

A client has been seen in the clinic and has been diagnosed with endometriosis. The client asks the nurse to describe this condition. The best response by the nurse should be:
 
  1. It causes the cessation of menstruation.
  2. It is also known as primary dysmenorrhea.
  3. It is pain that occurs during ovulation.
  4. It is the presence of tissue outside the uterus that resembles the endometrium.

[trog]

Answer to Question 1

1

Rationale: This measurement of glycosylated hemoglobin (Hb A1c) detects glucose binding on the red blood cell (RBC) membrane and is expressed as a percentage. It measures glucose for the life of the RBC, which is 120 days. The fasting blood glucose level should be lower than 130 mg/dL. The urine should be free of both ketones and urine.

Answer to Question 2

4

Rationale: Endometriosis is defined as the presence of tissue outside the uterus that resembles the endometrium in both structure and function. The response of this tissue to the stimulation of estrogen and progesterone during the menstrual cycle is identical to that of the endometrium. Primary dysmenorrhea refers to menstrual pain without identified pathology. Mittelschmerz re-fers to pelvic pain that occurs midway between menstrual periods, and amenorrhea is the cessa-tion of menstruation for at least three cycles or 6 months in a woman who has an established a pattern of menstruation. Amenorrhea can be caused by a variety of causes.

[tiara099]

Excellent

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