Documentation and Evaluation in Chronic Illness Care
Documentation and Evaluation in Chronic Illness Care ( 4 Questions)
A client with type 2 diabetes mellitus is scheduled for a hemoglobin A1c test. The client asks the nurse what this test measures. How should the nurse respond?
A hemoglobin A1c test measures the percentage of hemoglobin molecules that have glucose attached to them. Hemoglobin molecules have a lifespan of about 120 days, so this test reflects the average blood glucose level over the past three months. It is used to monitor the long-term glycemic control and effectiveness of diabetes management.
This is an incorrect statement, as this describes a random blood glucose test, which measures the blood glucose level at any time of the day, regardless of when the last meal was eaten.
This is an incorrect statement, as this describes a fasting blood glucose test, which measures the blood glucose level after not eating or drinking anything except water for at least eight hours.
This is an incorrect statement, as this describes a postprandial blood glucose test, which measures the blood glucose level one to two hours after eating a meal.
A hemoglobin A1c test measures the percentage of hemoglobin molecules that have glucose attached to them. Hemoglobin molecules have a lifespan of about 120 days, so this test reflects the average blood glucose level over the past three months. It is used to monitor the long-term glycemic control and effectiveness of diabetes management.
Incorrect options:
B) "It measures your blood glucose level at the time of the test." - This is an incorrect statement, as this describes a random blood glucose test, which measures the blood glucose level at any time of the day, regardless of when the last meal was eaten.
C) "It measures your blood glucose level after fasting for eight hours." - This is an incorrect statement, as this describes a fasting blood glucose test, which measures the blood glucose level after not eating or drinking anything except water for at least eight hours.
D) "It measures your blood glucose level after eating a carbohydrate-rich meal." - This is an incorrect statement, as this describes a postprandial blood glucose test, which measures the blood glucose level one to two hours after eating a meal.