FNP Family Nurse Practitioner Exam Prep

Category - Women's Health Nurse Practitioner

The NP is reviewing the laboratory results of clients who were examined for a possible diagnosis of diabetes mellitus. Which of the following individuals would the nurse believe to be diagnosed with diabetes mellitus?

  1. Jack, 30 years old, with a fasting plasma glucose of 126 mg/dL
  2. Penelope, 42 years old, with a random plasma glucose above 200 mg/dL and symptoms of diabetes
  3. Cynthia, 25 years old, with a random plasma glucose less than 140 mg/dL
  4. David, 51 years old, with a fasting plasma glucose between 110 mg/dL and 125 mg/dL
Explanation
Answer - B - Penelope, 42 years old, with a random plasma glucose above 200 mg/dL and symptoms of diabetes, meets the criteria for a diagnosis of diabetes. Other criteria for the diagnosis of diabetes are a fasting plasma glucose of 126 mg/dL or above on two occasions or a plasma glucose value equal to or above 200mg/dL in the 2-hour sample on a glucose tolerance test. A random plasma glucose of 140mg/dL or less is normoglycemic. A fasting plasma glucose of 110mg/dL to 125 mg/dL is considered impaired fasting plasma glucose (IPFG) and represents an increased risk for diabetes and a need for lifestyle changes to prevent the onset of diabetes.
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