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A nurse is checking the laboratory results of a client who is at risk for diabetes mellitus. Which of the following laboratory results indicates to the nurse that the client is at risk for diabetes mellitus?

A.

2-hr blood glucose 132 mg/dL.

B.

HbA1c 5.2%.

C.

Casual blood glucose 178 mg/dL.

D.

Fasting blood glucose 155 mg/dL. .

Answer and Explanation

The Correct Answer is D

Choice A rationale

 

A 2-hour blood glucose level of 132 mg/dL is below the threshold for diabetes diagnosis, which is 200 mg/dL or higher.

 

Choice B rationale

 

An HbA1c level of 5.2% is within the normal range. Diabetes is diagnosed with an HbA1c of 6.5% or higher.

 

Choice C rationale

 

A casual blood glucose level of 178 mg/dL is elevated but not diagnostic of diabetes. Diabetes is diagnosed with a casual blood glucose level of 200 mg/dL or higher.

 

Choice D rationale

 

A fasting blood glucose level of 155 mg/dL is above the threshold for diabetes diagnosis, which is 126 mg/dL or higher. This indicates that the client is at risk for diabetes mellitus.
 


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Correct Answer is A

Explanation

Choice A rationale

Abduction is the correct position for the client’s right leg following a right total hip arthroplasty. This position helps prevent dislocation of the hip joint by keeping the leg away from the midline.

Choice B rationale

Internal rotation should be avoided as it can increase the risk of hip dislocation. This position places stress on the new hip joint.

Choice C rationale

External rotation is also not recommended as it can lead to dislocation of the hip joint. Proper alignment is crucial for healing.

Choice D rationale

Adduction, or moving the leg towards the midline, should be avoided as it significantly increases the risk of hip dislocation. Keeping the leg in abduction helps maintain joint stability.

Correct Answer is C

Explanation

Choice A rationale

Cabbage is not a significant source of potassium. While it is a healthy vegetable, it does not provide the necessary potassium to help raise serum potassium levels.

Choice B rationale

Cheddar cheese is also not a high-potassium food. It is rich in calcium and protein but does not significantly contribute to potassium intake.

Choice C rationale

Bananas are well-known for their high potassium content. Including bananas in the diet can help increase serum potassium levels, which is beneficial for a client taking furosemide, a diuretic that can cause potassium loss.

Choice D rationale

Potatoes are another excellent source of potassium. However, the question specifies choosing one food, and bananas are a more commonly recommended option for increasing potassium intake.

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