Question

A nurse is monitoring a client who has type 2 diabetes mellitus and is receiving repaglinide. Which of the following laboratory tests should the nurse plan to review to obtain information about the long-term therapeutic effect of this medication?

A. Fasting blood glucose level
B. 1-hr oral glucose tolerance test
C. Urinary ketones
D. Glycosylated HbA1c

Answer 1

The nurse should review Glycosylated HbA1c levels to obtain information about the long-term therapeutic effect of repaglinide in a client with type 2 diabetes mellitus.

Step-by-step explanation:

To monitor the long-term therapeutic effect of repaglinide in a client with type 2 diabetes mellitus, the nurse should plan to review the Glycosylated HbA1c. Glycosylated HbA1c, also known as the A1C test, measures the average blood glucose levels over the past two to three months. I

t provides a picture of the patient's average blood sugar control during that time and is a better indicator of long-term glucose control than tests that only provide a snapshot, such as fasting blood glucose level or 1-hr oral glucose tolerance test. While urinary ketones might indicate uncontrolled diabetes or an insulin deficiency, they are not a measure of the long-term control of blood glucose levels.