Practice Quiz

CCRN Critical Care Nursing

Category - Pediatrics

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Included in the plan of care of a 7 year old client with diabetes is glucose monitoring. As a nurse, we must be aware that the most accurate way to evaluate the effectiveness of client and insulin therapy over time is the test that measures:
  1. Serum protein levels
  2. Urine ketones
  3. Serum glucose level
  4. Glycosylated Hemoglobin
Explanation
Answer: D - GHb test provides an accurate long-term index of the client’s average blood glucose level for the 100-120 day period before the test. The more glucose the RBC was exposed to, the greater the GHb percent.
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