A patient with type 2 diabetes is scheduled for a follow-up visit ...

[Arii_bell]

A patient with type 2 diabetes is scheduled for a follow-up visit in the clinic several months from now. Which test will the nurse schedule to evaluate the effectiveness of treatment for the patient?
 
  a. Urine dipstick for glucose
  b. Oral glucose tolerance test
  c. Fasting blood glucose level
  d. Glycosylated hemoglobin level

Question 2

A 55-year-old female patient with type 2 diabetes has a nursing diagnosis of imbalanced nutrition: more than body requirements. Which goal is most important for this patient?
 
  a. The patient will reach a glycosylated hemoglobin level of less than 7.
  b. The patient will follow a diet and exercise plan that results in weight loss.
  c. The patient will choose a diet that distributes calories throughout the day.
  d. The patient will state the reasons for eliminating simple sugars in the diet.

[diana chang]

Answer to Question 1

ANS: D
The glycosylated hemoglobin (A1C or HbA1C) test shows the overall control of glucose over 90 to 120 days. A fasting blood level indicates only the glucose level at one time. Urine glucose testing is not an accurate reflection of blood glucose level and does not reflect the glucose over a prolonged time. Oral glucose tolerance testing is done to diagnose diabetes, but is not used for monitoring glucose control once diabetes has been diagnosed.

Answer to Question 2

ANS: A
The complications of diabetes are related to elevated blood glucose, and the most important patient outcome is the reduction of glucose to near-normal levels. The other outcomes also are appropriate but are not as high in priority.

[Arii_bell]

Correct answers!

[diana chang]

Great! Please up vote