Screening and Diagnosis
Screening and Diagnosis ( 6 Questions)
A nurse is preparing to perform the glucose tolerance test for a pregnant client.
Which of the following statements by the client indicates a need for further clarification?
It is correct that the client should not eat or drink anything after midnight before the test.
It is correct that the client will need to have blood drawn at fasting and after drinking the sugary drink.
It is correct that the sugary drink may taste sweet and cause some temporary discomfort.
This statement indicates a need for further clarification because the glucose tolerance test for a pregnant client usually takes 1 hour, not several hours. The client should be informed that she will need to have blood drawn at fasting and 1 hour after drinking the sugary drink.
The correct answer is choice D. “I will be required to stay in the clinic for several hours during the test.” This statement indicates a need for further clarification because the glucose tolerance test for a pregnant client usually takes 1 hour, not several hours. The client should be informed that she will need to have blood drawn at fasting and 1 hour after drinking the sugary drink.
Choice A is wrong because it is correct that the client should not eat or drink anything after midnight before the test.
Choice B is wrong because it is correct that the client will need to have blood drawn at fasting and after drinking the sugary drink.
Choice C is wrong because it is correct that the sugary drink may taste sweet and cause some temporary discomfort.
The normal range for blood glucose level after a 1-hour glucose tolerance test is less than 140 mg/dL. A blood glucose level of 130 to 140 mg/dL is considered a positive screening and requires a 3-hour glucose tolerance test to confirm gestational diabetes mellitus.