A nurse is reinforcing glycosylated hemoglobin (HbA1c) testing with a client who has diabetes

mellitus. Which of the following statements indicates that the client understands the teaching?

"The HbA1c test should be performed 2 hr after I eat a meal that is high in carbohydrates."(The

nurse should remind the client that carbohydrate consumption is not required for HbA1c

testing.)

"The HbA1c test can help detect the presence of ketones in my body."(The nurse should remind the

client that urine testing can detect ketone bodies.)

"I will have my HbA1c checked twice per year."(An HbA1c test provides the client's average glucose

level for the preceding 3 months. The nurse should instruct the client to have her HbA1c tested twice

yearly to manage her glucose.)

"I will plan to fast before I have my HbA1c tested."(The nurse should remind the client that fasting is

not required for HbA1C testing.)

A nurse is examining a client’s IV site and notes a red line up his arm. The client reports a throbbing,

burning pain at the IV site. The nurse should identify that the client’s manifestations indicate which of

the following complications of IV therapy?

Thrombophlebitis(The nurse should identify pain, warmth, and a red streak up the arm as indications

of thrombophlebitis.)

Infiltration(The nurse should identify swelling and cool skin at the IV site as indications of infiltration.)

Hematoma(The nurse should identify swelling and bruising as indications of a hematoma that can

develop by not holding enough pressure after discontinuing the IV.)

Venous spasms(The nurse should identify cramping at or above the insertion site and numbness

as indications of venous spasms.)

A nurse is collecting data from a client and notices several skin lesion. Which of the following findings

should the nurse report as possible melanoma?

Scaly patches(The nurse should report scaly patches as possible basal or squamous cell carcinoma.

Silvery white plaques(The nurse should report silvery white plaques as possible psoriasis.)

Irregular borders(The nurse should report irregular borders of a skin lesion to the provider because it

can indicate malignant melanoma.)

Raised edges(The nurse should report raised edges of a skin lesion as possible basal cell carcinoma.)

e)

A nurse is reinforcing discharge teaching about wound care with a family member of a client who

is postoperative. Which of the following should the nurse include in the teaching?