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walravenseric walravenseric
wrote...
Posts: 506
Rep: 1 0
6 years ago
A nurse is teaching a group of patients about the prevalence of type 2 diabetes in older adults. The nurse knows teaching has been effective when a patient states, Statistically, in a group of 100 older adults in the United States, approximately:
 
  1. 10 will have type 2 diabetes.
  2. 17 will have type 2 diabetes.
  3. 27 will have type 2 diabetes.
  4. 33 will have type 2 diabetes.

Question 2

The nurse is trying to determine if a patient is experiencing manifestations of type 1 or type 2 diabetes mellitus. Which question should the nurse ask the patient to help determine the type?
 
  1. Have you been urinating in greater amounts than in the past?
  2. Have you been drinking more liquids than in the past?
  3. Have you been hungrier than in the past?
  4. Have you noticed any changes in your vision?

Question 3

The nurse is reviewing data collected for a patient's health history. Which factor should the nurse identify as increasing the patient's risk of developing type 2 diabetes mellitus?
 
  1. body mass index of 23 kg/m2
  2. blood pressure of 120/70
  3. physical inactivity
  4. low waist-to-hip ratio

Question 4

The nurse is reviewing data collected from a patient with a predisposition to developing insulin resistance. Which medications should the nurse identify as potentially causing this patient to develop diabetes?
 
  Select all that apply.
  1. nicotinic acid (Niacor)
  2. acetaminophen (Tylenol)
  3. levothyroxine (Synthroid)
  4. furosemide (Lasix)
  5. phenytoin (Dilantin)

Question 5

The nurse is concerned that a patient with type 1 diabetes mellitus is at risk for developing diabetic ketoacidosis. What did the nurse assess to come to this conclusion?
 
  1. reports of anxiety
  2. pale, cool skin
  3. serum glucose level of 325 mg/dL
  4. ulcer on plantar aspect of right foot
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Replies
wrote...
6 years ago
The answer to question 1

Correct Answer: 3

The National Institute of Diabetes and Digestive and Kidney Diseases estimates that 26.9 of the U.S. population over the age of 65 have DM.

The answer to question 2

Correct Answer: 3

Type 1 and type 2 diabetes have similar manifestations, especially polyuria and polydipsia. Polyphagia is not often seen, and weight loss is uncommon. Vision changes are seen in both type 1 and type 2 diabetes mellitus.

The answer to question 3

Correct Answer: 3

Physical inactivity is a major risk factor for type 2 DM. Patients with obesity, defined as being at least 20 over desired body weight or having a body mass index (BMI) of at least 27 kg/m2, are at major risk for type 2 DM. A blood pressure of 120/70 is normal and carries no increased risk for type 2 DM. A high waist-to-hip ratio is a risk factor for type 2 DM. A low waist-to-hip ratio carries no increased risk of the disease.

The answer to question 4

Correct Answer: 1, 3, 4, 5
Many drugs impair insulin secretion, precipitating DM in people with predisposing insulin resistance. Examples are nicotinic acid, thyroid hormone, thiazides, and phenytoin. Acetaminophen (Tylenol) does not impair insulin secretion and precipitate diabetes mellitus in people with predisposing insulin resistance.

The answer to question 5

Correct Answer: 3

Anxiety and pale, cool skin are symptoms of hypoglycemia. In diabetic ketoacidosis, the blood glucose level is above 250 mg/dL. An ulcer is not a symptom of diabetic ketoacidosis.
walravenseric Author
wrote...
6 years ago
Thank you for always stepping in by helping me with my homework
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