NCLEX Style Study Question
Which of these tests with frequency would the nurse expect to monitor for the evaluation of clients with poor glycemic control in persons aged 18 and older?
- A glycosylated hemoglobin (A1c) should be performed during an initial assessment and during follow-up assessments, which should occur at no longer than 3-month intervals
- A glycosylated hemoglobin is to be obtained at least twice a year
- A fasting glucose and a glycosylated hemoglobin is to be obtained at 3 months intervals after the initial assessment
- A glucose tolerance test, a fasting glucose and a glycosylated hemoglobin should be obtained at 6-month intervals after the initial assessment
June 28th, 2005 at 2:42 pm
Answer is # 3
June 28th, 2005 at 10:34 pm
I think it may be 1…the ac1 is nost accurate???
thanks joleen
June 29th, 2005 at 11:43 am
1
June 29th, 2005 at 3:52 pm
#1
June 29th, 2005 at 3:53 pm
#1 i think
July 2nd, 2005 at 7:25 am
The correct answer is number: 1
American Diabetes Association (ADA) recommends obtaining a glycosylated hemoglobin during an initial assessment and then routinely as part of continuing care. In the absence of well-controlled studies that suggest a definite testing protocol, expert opinion recommends glycosylated hemoglobin be obtained at least twice a year in patients who are meeting treatment goals and who have stable glycemic control and more frequently (quarterly assessment) in patients whose therapy was changed or who are not meeting glycemic goals. The goals for persons with diabetes define the target A1c level as less than or equal to 6.5% or less than 7.0%. American Association of Clinical Endocrinologists/American College of Endocrinology (AACE/ACE) recommends that a glycosylated hemoglobin be performed during an initial assessment and during follow-up assessments, which should occur at no longer than three-month intervals. Most would agree, however, that an A1c level greater than 9.0% is poor control for all patient types.
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July 12th, 2005 at 12:32 pm
A fasting glucose and a glycosylated hemoglobin is to be obtained at 3 months intervals after the initial assessment
July 18th, 2005 at 3:06 am
hgb a1c